Individual
PATRICIA MAYBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 N 24TH ST STE 100, PHOENIX, AZ 85008-4645
(602) 844-7246
(602) 759-7246
Mailing address
1401 N 24TH ST STE 100, PHOENIX, AZ 85008-4645
(602) 844-7246
(602) 759-7246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP9657
AZ
363LG0600X
Gerontology Nurse Practitioner
AP9657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250048
—
AZ
Enumeration date
02/15/2017
Last updated
09/20/2022
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