Individual
PANSY MAUREEN HARRIS-LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7512 E CLINTON ST, SCOTTSDALE, AZ 85260-6446
(973) 731-6253
Mailing address
7512 E CLINTON ST, SCOTTSDALE, AZ 85260-6446
(973) 731-6253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN34192
FL
363LA2100X
Acute Care Nurse Practitioner
224102
AZ
363LA2100X
Acute Care Nurse Practitioner
224102
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
224102
AZ
Other
Enumeration date
05/07/2007
Last updated
07/22/2024
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