Latif Adeyemi Mustapha, NP is a gerontology nurse practitioner in Avondale, AZ. Latif Adeyemi Mustapha, NP NPI is 1700473600. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12025 W APACHE ST
AVONDALE, AZ
ZIP 85323-220
Phone: (623) 241-2084
The NPI 1700473600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/25/2020 and was last updated on 12/25/2020.