NPI 1013636091

Courtlyn Mirza, RN

Practitioner Registered Nurse Mesa, AZ

Practice location

Address: 4840 E Adobe Rd, Mesa, AZ 85205
Phone: (480) 472-8579
Mailing address: 9644 E Tripoli Ave, Mesa, AZ 85212-9175

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN147420 (AZ)

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Registry record

NPI: 1013636091
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2022
Record last updated: 24 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.