MEDICARE: KAIROVERA PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1932076692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAIROVERA PLLC

Provider Business Mailing Address
First Line	:	8950 E GERMANN RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-5301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 E GERMANN RD STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-5301
Country	:	US
Telephone Number	:	407-863-9102
Fax Number	:

Authorized Official
Title or Position	:	NP/OWNER
Name	:	STEPHANIE NSIAH
Credential	:	NP
Telephone Number	:	407-863-9102

Provider Enumeration Date	:	10/18/2025
Last Update Date	:	10/18/2025

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