Provider Demographics
NPI:1831406222
Name:KAKOU, AICHA EVELYNE (FNP)
Entity type:Individual
Prefix:
First Name:AICHA
Middle Name:EVELYNE
Last Name:KAKOU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:234 N CENTRAL AVE # AZ85004
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-2208
Mailing Address - Country:US
Mailing Address - Phone:608-481-6389
Mailing Address - Fax:
Practice Address - Street 1:5650 S 12TH AVE STE 132
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-3187
Practice Address - Country:US
Practice Address - Phone:877-465-6650
Practice Address - Fax:804-294-2775
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ277245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily