IndividualActive
Brian Hualde
NPI 1376178772 · Pediatric Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1376178772
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN183515 (AZ)
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0016
Fax: (602) 933-4318
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.