Basic Information
Provider Information
NPI: 1568750214
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOCI
FirstName: EMINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7301 E 2ND ST
Address2: SUITE 210
City: SCOTTSDALE
State: AZ
PostalCode: 852515600
CountryCode: US
TelephoneNumber: 4808824545
FaxNumber: 4808826997
Practice Location
Address1: 7301 E 2ND ST
Address2: SUITE 210
City: SCOTTSDALE
State: AZ
PostalCode: 852515600
CountryCode: US
TelephoneNumber: 4808824545
FaxNumber: 4808826997
Other Information
ProviderEnumerationDate: 07/15/2011
LastUpdateDate: 02/23/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAP4104AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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