KARIBU FAMILY CARE PLLC NPI 1255815858

NPI Information

KARIBU FAMILY CARE PLLC is a primary care nurse practitioner in Peoria, AZ. KARIBU FAMILY CARE PLLC NPI is 1255815858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20542 N LAKE PLEASANT RD STE 105
PEORIA, AZ
ZIP 85382-749
Phone: (602) 741-0124

The provider's authorized official is Anthony Baldwin Syellu Msowoya .
The authorized official title is Co-owner -family Nurse Practitioner and has the following contact phone number (602) 741-0124.

The CLIA number assigned to this NPI record is 03D2158539 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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