Individual
NAYEREH SABRIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HWY 264 MP388, POLACCA, AZ 86042-4000
(928) 737-6000
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN202619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
Enumeration date
03/09/2016
Last updated
03/09/2016
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