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Family Nurse Practitioner

NPI: 1649896267IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

242786(AZ)

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Via practice · 2 locations total

Address
350 W Thomas Rd
Phoenix, AZ 85013

Quick Facts

NPI
1649896267
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
6

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