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JISMI THEEYATTUVELI, NP

NP

Nurse Practitioner

NPI: 1285229534IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

138064(AZ)
Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

254316(AZ)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Address
51 S 48TH ST
MESA, AZ 85206

Quick Facts

NPI
1285229534
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
6

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