Womens Healthcare Of Havasu Pllc

NPI 1598035842 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1598035842
Enumeration Date 01/04/2012
Last Updated 04/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DIANA DIANA
Position OWNER/PRESIDENT
Phone (928) 505-5300
Fax (928) 505-2333
Practice Location
1956 MESQUITE AVE
SUITE 103
LAKE HAVASU CITY AZ, 86403-5888, US
Phone (928) 505-5300
Fax (928) 505-2333
Business Location
1956 MESQUITE AVE
SUITE 103
LAKE HAVASU CITY AZ, 86403-5888, US
Phone (928) 505-5300
Fax (928) 505-2333
Toxanomy
Taxonomy Code 363LW0102X
License State Arizona
License Number AP4009
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According to our database, Womens Healthcare Of Havasu Pllc NPI is 1598035842, taxonomy code is 363LW0102X and license number is AP4009, license state is located at Arizona. Womens Healthcare Of Havasu Pllc physically located at 1956 Mesquite Ave, Lake Havasu City AZ, 86403-5888. NPI Number 1033115704 has the healthcare provider type.

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1598035842 NPI number is provided on an as is basis without warranty of any kind. 1598035842 is maintained by the National Plan & Provider Enumeration System. The contents of Womens Healthcare Of Havasu Pllc are for informational purposes only.