IndividualActive
Daniela Haimov
NPI 1114523719 · Primary Care Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1114523719
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 250766 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4350 N 19th Ave Ste 6
Phoenix, AZ 85015-4602
Phone: (602) 264-9191
Approximate (ZIP-level) locationGet directions
Mailing address
4350 N 19th Ave Ste 6
Phoenix, AZ 85015-4602
Registry dates
- Enumerated
- 2020-12-08
- Last updated
- 2021-02-01
- Certified
- 2021-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.