Your Nurse Practitioner Llc

NPI 1346504818 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1346504818
Enumeration Date 06/29/2012
Last Updated 06/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PATRICIA ANN PATRICIA
Position JURSE PRACTITIONER
Phone (928) 775-9057
Fax
Practice Location
6261 BOOTHWYN ST
PRESCOTT VALLEY AZ, 86314-6726, US
Phone (928) 775-9057
Fax
Business Location
6261BOOTHWYN STREET
PRESCOTT VALLEY AZ, 86314-6726, US
Phone (928) 775-9057
Fax
Toxanomy
Taxonomy Code 363LG0600X
License State Arizona
License Number RN039594
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According to our database, Your Nurse Practitioner Llc NPI is 1346504818, taxonomy code is 363LG0600X and license number is RN039594, license state is located at Arizona. Your Nurse Practitioner Llc physically located at 6261 Boothwyn St, Prescott Valley AZ, 86314-6726. NPI Number 1033115704 has the healthcare provider type.

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1346504818 NPI number is provided on an as is basis without warranty of any kind. 1346504818 is maintained by the National Plan & Provider Enumeration System. The contents of Your Nurse Practitioner Llc are for informational purposes only.