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Organization

AN NP FOR ME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISA E DEHERRERA (ADMINISTRATOR)
(480) 381-5955
Entity
Organization

Contact information

Practice address
15048 W YOUNG ST, SURPRISE, AZ 85374-7484
(480) 796-2730
Mailing address
13835 N TATUM BLVD STE 9120, PHOENIX, AZ 85032-5581
(480) 381-5955

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/27/2024
Last updated
09/27/2024
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