person
Irina Khakhanov
Family Nurse Practitioner in Phoenix, Arizona
NPI 1417617002

Irina Khakhanov is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Irina Khakhanov practices in Phoenix, AZ. The NPI Number for Irina Khakhanov is 1417617002 and holds a License No. F11210467 (Arizona).

The current practice location address for Irina Khakhanov is 5777 E Mayo Blvd, Phoenix, AZ and can be reached out via phone at 646-249-5910.

Location: 5777 E Mayo Blvd, Phoenix, AZ, 85023-4484
person
Provider Profile Details
NPI Number
1417617002
Provider Name
Irina Khakhanov
Credential
Provider Entity Type
Individual
Gender
Female
Address
5777 E Mayo Blvd, Phoenix, AZ, 85023-4484
Phone Number
646-249-5910
Fax Number
Provider Enumeration Date
12/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5777 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
646-249-5910
Fax Number
person
Provider Business Mailing Address Details
Address
5777 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
646-249-5910
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F11210467 (Arizona)
Definition
Definition to come...
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