Provider Demographics
NPI:1033751086
Name:CALIXTE, TEKOYA MOSELINE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TEKOYA
Middle Name:MOSELINE
Last Name:CALIXTE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 NORTH MCQUEEN ROAD, SUITE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2329
Mailing Address - Country:US
Mailing Address - Phone:602-617-9774
Mailing Address - Fax:602-865-8527
Practice Address - Street 1:955 NORTH MCQUEEN ROAD, SUITE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2329
Practice Address - Country:US
Practice Address - Phone:602-617-9774
Practice Address - Fax:602-865-8527
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ233613363LF0000X
AZF10190324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ233613OtherARIZONA BOARD OF NURSING