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NPI Code Detail

MEDICARE: AJITHA NAIR MSN/FNP

MEDICARE:   AJITHA  NAIR  MSN/FNP
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
1363LF0000XFamily Nurse PractitionerAP10436AZ

General Provider Information

NPI Number : 1558801522
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJITHA NAIR MSN/FNP
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 63 N GREENFIELD RD STE 108
Second Line :
City : MESA
State : AZ
Zip : 85205-7863
Country : US
Telephone Number : 602-834-5516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2017
Last Update Date : 02/19/2026

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Directions to “ AJITHA NAIR MSN/FNP” Practice Location

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