Doctor Name: | KIARA DEEM |
NPI Number: | 1447627856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | AP8102 |
Business Practice Address: | 287 E Hunt Hwy Suite 105 San Tan Valley, AZ - 851435095 |
Business Phone Number: | 4806778282 |
Business Fax Number: | 4806778283 |
Mailing Address: | 4600 S Mill Ave, Ste 280 TEMPE |
State: | AZ |
Postal Code: | 852826850 |
Phone Number: | 4803052888 |
Fax Number: | 4803052889 |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP8102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |