Atami De Main, PHD, AGPCNP-BC

Individual Active
NPI 1790608990
Primary Care Nurse Practitioner Phoenix, AZ

NPI 1790608990 belongs to Atami De Main, PHD, AGPCNP-BC, a primary care nurse practitioner with a practice location in Phoenix, AZ. The NPI was issued on August 3, 2026, and the record was last updated in NPPES on August 3, 2026. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X 241164 (AZ)
Adult Health Nurse Practitioner 363LA2200X 241164 (AZ)
Gerontology Nurse Practitioner 363LG0600X 241164 (AZ)

Practice location

4539 N 22nd St Ste N
Phoenix, AZ 85016-4639
Phone: (928) 393-9364

Local context

Active NPPES records list 204 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 84 of them within 10 miles.

The same primary taxonomy is listed by 350 in Arizona and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Atami De Main
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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