Individual
SUSAN M. LIEBHERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5407
Mailing address
7552 W COUNTRY GABLES DR, PEORIA, AZ 85381-4392
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN036063
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
637655
—
AZ
Enumeration date
03/20/2006
Last updated
09/15/2011
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