Organization
SHEA PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOKESWARI BUCCHIREDDIGARI FNP (RN,FNP)
(480) 652-2931
Entity
Organization
Contact information
Practice address
8952 E DESERT COVE AVE, #110, SCOTTSDALE, AZ 85260-6775
(480) 767-3169
Mailing address
8952 E DESERT COVE AVE, #110, SCOTTSDALE, AZ 85260-6775
(480) 767-3169
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP5312
AZ
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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