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Individual

JANICE L PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
641 W WARNER RD, GILBERT, AZ 85233-7266
(480) 722-9828
(480) 722-9831
Mailing address
1250 S CLEARVIEW AVE STE 100, URGENT CARE EXTRA, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN047681
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
578403
AZ
Enumeration date
03/28/2006
Last updated
08/25/2015
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