Individual
DARION ALEXXIS ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5683
(928) 855-8185
Mailing address
6840 JAY LN, FLAGSTAFF, AZ 86004-1231
(602) 434-9334
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
257631
AZ
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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