# NURSE PRACTITIONER GUILD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336364728
- **Authorized official:** MS. SUZANNE RAE SALEM N. P. (NURSE PRACTITIONER, PRESIDENT)
- **Authorized official phone:** (928) 649-3805

## Contact information

- **Practice address:** 601 W MINGUS AVE, COTTONWOOD, AZ 86326-4075
- **Practice address phone:** (928) 649-3805
- **Mailing address:** PO BOX 3125, COTTONWOOD, AZ 86326-2590
- **Mailing address phone:** (928) 649-3805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN034491 | AZ | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 11/19/2007