Healthcare Provider Details

I. General information

NPI: 1255255717
Provider Name (Legal Business Name): ARIANNA NICOLE BEKELE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 S 72ND ST
MESA AZ
85208-2706
US

IV. Provider business mailing address

1108 S 72ND ST
MESA AZ
85208-2706
US

V. Phone/Fax

Practice location:
  • Phone: 602-491-1919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SS0200X
TaxonomySchool Clinical Nurse Specialist
License Number306484
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: