OrganizationActive
Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC
NPI 1629554126 · Family Health Clinical Nurse Specialist · Mesa, AZ
Provider details
- NPI number
- 1629554126
- Entity type
- Organization
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Medina Kamau, Provider
Practice location
2729 E Main St Ste 101-102
Mesa, AZ 85213-9228
Phone: (480) 867-1722
Fax: (480) 867-1709
Mailing address
2735 E Main St Ste 2&3
Mesa, AZ 85213-9269
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.