Provider Demographics
NPI:1811468465
Name:NAFISI, KATHY (FNP-C)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:NAFISI
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6334 E VIEWMONT DR UNIT 7
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-7781
Mailing Address - Country:US
Mailing Address - Phone:602-810-9109
Mailing Address - Fax:
Practice Address - Street 1:16240 N FORT MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:FORT MCDOWELL
Practice Address - State:AZ
Practice Address - Zip Code:85264-3402
Practice Address - Country:US
Practice Address - Phone:480-789-7890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF10181638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine