Individual
MS. SWAN ANN MASHATISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(480) 707-2749
Mailing address
4644 N 22ND ST UNIT 2140, PHOENIX, AZ 85016-4674
(480) 707-2749
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN131618
AZ
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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