BRYAN GAITANIS FNP-BC
NPI 1154081677
Nurse Practitioner - Primary Care in Queen Creek, AZ

Active since December 23, 2021
19137 E KINGBIRD DR, QUEEN CREEK, AZ 85142(770) 256-2775 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Gaitanis Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN GAITANIS FNP-BC (NPI 1154081677) is an individual primary care provider in Queen Creek, Arizona, licensed in Arizona (223457) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1154081677
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameBRYAN GAITANISCredential: FNP-BC
Location Address19137 E KINGBIRD DRQueen Creek, AZ 85142-5329
Mailing Address19137 E Kingbird DrQueen Creek, AZ 85142-5329 · (770) 256-2775
Sole ProprietorYes
Enumeration DateDecember 23, 2021
NPPES CertifiedDecember 13, 2021
NPI 1154081677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AZ · 223457
19137 E KINGBIRD DR, Queen Creek, AZ 85142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Gaitanis's NPI number?

The NPI number for Bryan Gaitanis is 1154081677. It was assigned to this individual provider in the NPPES registry on December 23, 2021.

Where is Bryan Gaitanis located?

Bryan Gaitanis practices at 19137 E Kingbird Dr, Queen Creek, AZ 85142. The listed phone number is (770) 256-2775.

What is Bryan Gaitanis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Bryan Gaitanis was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.