Individual
MS. KATHLEEN M BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1869
(602) 298-7777
(623) 930-6060
Mailing address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1869
(602) 298-7777
(623) 930-6060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN137226
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP-3489
AZ
Other
Enumeration date
11/24/2009
Last updated
05/13/2010
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