Individual
MS. NANCY LEE KNOBLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
18146 N 113TH AVE, SURPRISE, AZ 85374-6954
(623) 583-2365
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN028693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817398
—
AZ
Enumeration date
02/22/2007
Last updated
07/09/2007
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