Individual
DR. MICHELLE LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C, RNFA
Contact information
Practice address
2646 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-4734
Mailing address
2940 E. BANNER GATEWAY DRIVE, SUITE #450, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-4734
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN140533
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP5739
AZ
Other
Enumeration date
04/29/2011
Last updated
07/19/2021
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