Individual
MRS. KATRINA MARIE ROUSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP8914
AZ
Other
Enumeration date
07/25/2016
Last updated
08/15/2016
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