Individual
LINDA BAZALAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7436 E MAIN ST, MESA, AZ 85207-8338
(480) 325-9600
Mailing address
7436 E MAIN ST, MESA, AZ 85207-8338
(480) 325-9600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10637
AZ
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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