IndividualActive
Bryan Gaitanis, FNP-BC
NPI 1154081677 · Primary Care Nurse Practitioner · Queen Creek, AZ
Provider details
- NPI number
- 1154081677
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 223457 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19137 E Kingbird Dr
Queen Creek, AZ 85142-5329
Phone: (770) 256-2775
Approximate (ZIP-level) locationGet directions
Mailing address
19137 E Kingbird Dr
Queen Creek, AZ 85142-5329
Registry dates
- Enumerated
- 2021-12-23
- Last updated
- 2021-12-23
- Certified
- 2021-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.