Individual
LOUISE CLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8101 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8454
(928) 778-4711
Mailing address
8101 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8454
(928) 778-4711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN138808
AZ
363LF0000X
Family Nurse Practitioner
Primary
TAP5461
AZ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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