Provider Demographics
NPI:1457690752
Name:SAHA, DEEPA JOSHI (FNP)
Entity Type:Individual
Prefix:
First Name:DEEPA
Middle Name:JOSHI
Last Name:SAHA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BURRO ALY
Mailing Address - Street 2:
Mailing Address - City:MORENCI
Mailing Address - State:AZ
Mailing Address - Zip Code:85540-9647
Mailing Address - Country:US
Mailing Address - Phone:928-865-9184
Mailing Address - Fax:
Practice Address - Street 1:GILA HEALTH RESOURCES
Practice Address - Street 2:401 BURRO ALLY
Practice Address - City:MORENCI
Practice Address - State:AZ
Practice Address - Zip Code:85540
Practice Address - Country:US
Practice Address - Phone:928-865-9184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4817363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health