Healthcare Provider Details

I. General information

NPI: 1053266791
Provider Name (Legal Business Name): SAMIR J HAMEL FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7436 E MAIN ST STE 1
MESA AZ
85207-9338
US

IV. Provider business mailing address

7436 E MAIN ST STE 2
MESA AZ
85207-9338
US

V. Phone/Fax

Practice location:
  • Phone: 480-325-9600
  • Fax: 480-493-5336
Mailing address:
  • Phone: 480-325-9600
  • Fax: 480-493-5336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number293827
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: