IndividualActive
Daud Koleosho
NPI 1962093781 · Primary Care Nurse Practitioner · Tempe, AZ
Provider details
- NPI number
- 1962093781
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 253415 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1840 E Baseline Rd Ste A1
Tempe, AZ 85283-1527
Phone: (480) 718-5400
Fax: (877) 666-4624
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 308
Queen Creek, AZ 85142-1806
Registry dates
- Enumerated
- 2021-02-03
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.