Healthcare Provider Details

I. General information

NPI: 1205741865
Provider Name (Legal Business Name): MICHAEL NABEA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13555 W MCDOWELL RD STE 205
GOODYEAR AZ
85395-2626
US

IV. Provider business mailing address

13555 W MCDOWELL RD STE 205
GOODYEAR AZ
85395-2626
US

V. Phone/Fax

Practice location:
  • Phone: 623-295-1190
  • Fax:
Mailing address:
  • Phone: 623-295-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344354
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: