person
Bryan Keoke Lazaro, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona
NPI 1912458845

Bryan Keoke Lazaro is a Psychiatric/Mental Health Nurse Practitioner based in Phoenix, AZ and is specialized in Psychiatric/Mental Health. Bryan Keoke Lazaro practices in Phoenix, AZ and has the professional credentials of PMHNP. The NPI Number for Bryan Keoke Lazaro is 1912458845 and holds a License No. TAP9561 (Arizona).

The current practice location address for Bryan Keoke Lazaro is 3031 W Northern Ave Ste 109, Phoenix, AZ and can be reached out via phone at 602-888-3474.

Location: 3031 W Northern Ave Ste 109, Phoenix, AZ, 85040-8707
person
Provider Profile Details
NPI Number
1912458845
Provider Name
Bryan Keoke Lazaro
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
3031 W Northern Ave Ste 109, Phoenix, AZ, 85040-8707
Phone Number
602-888-3474
Fax Number
Provider Enumeration Date
10/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3031 W Northern Ave Ste 109
City
State
Zip
85051-6695
Phone Number
602-888-3474
Fax Number
person
Provider Business Mailing Address Details
Address
3031 W Northern Ave Ste 109
City
State
Zip
85051-6695
Phone Number
602-888-3474
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
TAP9561 (Arizona)
Definition
Definition to come...
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