MEDICARE: ESTHER KIOKO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP7632	AZ

General Provider Information

NPI Number	:	1336531755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER KIOKO

Provider Business Mailing Address
First Line	:	4400 E BROADWAY BLVD STE 306
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3553
Country	:	US
Telephone Number	:	520-225-7418
Fax Number	:	405-347-7364

Provider Business Practice Location Address
First Line	:	4400 E BROADWAY BLVD STE 306
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3553
Country	:	US
Telephone Number	:	520-230-8256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2015
Last Update Date	:	02/20/2023

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Directions to “ ESTHER KIOKO ” Practice Location

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