Kaniz Fatema Islam
FNP, PMHNP | Nurse Practitioner - Psych/Mental Health
5209 W Siesta Way, Laveen
Arizona, 85339-7179
602-352-9898
Kaniz Fatema Islam is a Laveen, Arizona based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Kaniz Fatema Islam is AZ5476 for Family NP in Arizona. Her current practice location is 5209 W Siesta Way, Laveen. Patients can reach her at 602-352-9898 or can fax her at 949-247-5542. Kaniz Fatema Islam is FNP, PMHNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1366860843.
Kaniz Fatema Islam provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Kaniz Fatema Islam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kaniz Fatema Islam |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | FNP, PMHNP |
| Practice Address: | 5209 W Siesta Way, Laveen,
Arizona, 85339-7179 |
| Phone: | 602-352-9898 |
| Fax: | 949-247-5542 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1366860843 |
| NPI Enumeration Date: | 02 Apr, 2014 |
| NPI Last Update On: | 20 May, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaniz Fatema Islam are as mentioned below.
| License Number | Specialization | State | Status | |
| AZ5476 | Family NP | Arizona | Primary | |
| AZ5476 | Psych/Mental Health NP | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kaniz Fatema Islam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 902324 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kaniz Fatema Islam
5209 W Siesta Way,
Laveen, Arizona |
| Zip: | 85339-7179 |
| Phone Number: | 602-550-1008 |
Patients can reach Kaniz Fatema Islam at
5209 W Siesta Way, Laveen, Arizona or can
call to book an appointment on 602-352-9898.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.