Individual
JOELLEN BEARD EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2204 S DOBSON RD STE 203, MESA, AZ 85202
(480) 376-2170
(480) 699-0056
Mailing address
3370 N HAYDEN RD # 123-215, SCOTTSDALE, AZ 85251-6632
(480) 376-2170
(480) 376-2169
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN053123
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
AP7036
AZ
363LW0102X
Women's Health Nurse Practitioner
RN053123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431130
—
AZ
01
—
AP7036
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
10/11/2006
Last updated
09/04/2018
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