Individual
DONNA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9897 W MCDOWELL RD STE 100, TOLLESON, AZ 85353-1622
(623) 474-2300
Mailing address
22269 W MOONLIGHT PATH, BUCKEYE, AZ 85326-8591
(623) 388-4754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224620
—
AZ
Enumeration date
04/29/2019
Last updated
08/02/2019
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