Individual
SANDRA MOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8766 EAST HWY 69, HUMBOLDT UNIFIED SCOOL DISTRICT #22 SPECIAL SERVICES OF, PRESCOTT VALLEY, AZ 86314
(928) 759-4028
(928) 759-4030
Mailing address
4957 E NORTH STAR MINE RD, PRESCOTT, AZ 86303
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN041961
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623472
—
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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