Individual
ISIN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7205 S 51ST AVE STE 203, LAVEEN, AZ 85339-7239
(602) 358-7073
(888) 927-0409
Mailing address
8211 S 42ND DR, LAVEEN, AZ 85339-2554
(602) 710-8303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223837
AZ
Other
Enumeration date
04/25/2023
Last updated
06/12/2023
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