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Organization
NURSE PRACTITIONER GUILD, INC
Active
Organization
NURSE PRACTITIONER GUILD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE RAE SALEM N. P. (NURSE PRACTITIONER, PRESIDENT)
(928) 649-3805
Entity
Organization
Contact information
Practice address
601 W MINGUS AVE, COTTONWOOD, AZ 86326-4075
(928) 649-3805
Mailing address
PO BOX 3125, COTTONWOOD, AZ 86326-2590
(928) 649-3805
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN034491
AZ
Other
Enumeration date
04/13/2007
Last updated
11/19/2007
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