Individual
KARIN VANNIEUWENHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
2291 ALTA VISTA PL, PRESCOTT, AZ 86301-5350
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2130
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456104
—
AZ
Enumeration date
05/28/2006
Last updated
07/08/2007
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