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Individual
ALAN W MOTTER
Active
Individual
ALAN W MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP -C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN076694
AZ
363LF0000X
Family Nurse Practitioner
AZ AP 2229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640
—
AZ
Enumeration date
03/08/2006
Last updated
12/15/2011
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