is a Nurse Practitioner in Phoenix, Arizona. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1437316288. The last update date is .
's current location address is 2200 W Bethany Home Rd, Phoenix, Arizona. You can contact this provider via phone number 6028414860 and fax number 6028414861. The mailing address for is 2200 W Bethany Home Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2200 W Bethany Home Rd, Phoenix, Arizona |
| Phone Number | 6028414860 |
| Fax Number | 6028414861 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437316288 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2200 W Bethany Home Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850151997 |
| Phone Number | 6028414860 |
| Fax Number | 6028414861 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 308 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 449571 | AZ | -- |
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