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Organization
ADVANCED PRACTICE NURSE SOURCE, LLC
Active
Organization
ADVANCED PRACTICE NURSE SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN MILLER SARHAN APRN (CEO)
(801) 550-6059
Entity
Organization
Contact information
Practice address
12772 N 58TH AVE, GLENDALE, AZ 85304-1878
(801) 550-6059
Mailing address
5830 W THUNDERBIRD RD STE B8118, GLENDALE, AZ 85306-4654
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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