Individual
LAURA HELLENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N 32ND ST, SUITE 140, PHOENIX, AZ 85018-3953
(602) 254-4424
Mailing address
1001 E OCOTILLO RD, PHOENIX, AZ 85014-1054
(406) 698-6648
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP7443
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
F306084-1
NY
Other
Enumeration date
08/07/2012
Last updated
11/23/2014
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