Individual
SUE ANN SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1530 W GLENDALE AVE STE 105, PHOENIX, AZ 85021-8578
(602) 995-3395
Mailing address
4221 W YORKSHIRE DR, GLENDALE, AZ 85308-7556
(623) 694-5364
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
Primary
RN054207
AZ
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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