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Brent Lusamba-kasende Kamba, FNP-C
Family Nurse Practitioner in Chandler, Arizona
NPI 1194217760

Brent Lusamba-kasende Kamba is a Family Nurse Practitioner based in Taylorsville, AZ and is specialized in Family. Brent Lusamba-kasende Kamba practices in Chandler, AZ and has the professional credentials of FNP-C. The NPI Number for Brent Lusamba-kasende Kamba is 1194217760 and holds a License No. (Arizona).

The current practice location address for Brent Lusamba-kasende Kamba is 261 N Roosevelt Ave, Chandler, AZ and can be reached out via phone at 801-688-4952. You can also correspond with Brent Lusamba-kasende Kamba through the mailing address at 6013 S REDWOOD RD, TAYLORSVILLE, UT - 84123-5220 (mailing address contact number: 801-255-5131).

Location: 261 N Roosevelt Ave, Chandler, AZ, 84123-5220
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Provider Profile Details
NPI Number
1194217760
Provider Name
Brent Lusamba-kasende Kamba
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
261 N Roosevelt Ave, Chandler, AZ, 84123-5220
Phone Number
801-688-4952
Fax Number
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
261 N Roosevelt Ave
City
State
Zip
85226-2617
Phone Number
801-688-4952
Fax Number
person
Provider Business Mailing Address Details
Address
6013 S Redwood Rd
City
State
Zip
84123-5220
Phone Number
801-255-5131
Fax Number
801-658-0604
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
297664 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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