=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457690752
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEEPA JOSHI SAHA FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2013
-----------------------------------------------------
Last Update Date | 08/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33 N LINDSAY RD STE 111
-----------------------------------------------------
City | GILBERT
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85234-5808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-508-1489
-----------------------------------------------------
Fax | 480-926-5278
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22523 E QUINTERO RD
-----------------------------------------------------
City | QUEEN CREEK
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85142-2879
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-335-6629
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | AP4817
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | AP4817
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------