Healthcare Provider Details

I. General information

NPI: 1588971816
Provider Name (Legal Business Name): REKHA MATKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 E MOUNTAIN VIEW RD
SCOTTSDALE AZ
85258-4422
US

IV. Provider business mailing address

8901 E MOUNTAIN VIEW RD
SCOTTSDALE AZ
85258-4422
US

V. Phone/Fax

Practice location:
  • Phone: 480-559-0252
  • Fax: 480-661-4141
Mailing address:
  • Phone: 480-559-0252
  • Fax: 480-661-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP2375
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: