Individual
MS. PAULETTE LEGUIZAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
14973 W BELL RD, SUITE #100, SURPRISE, AZ 85374-3202
(623) 815-2900
(623) 583-1319
Mailing address
19560 N CANYON WHISPER DR, SURPRISE, AZ 85387-4403
(623) 815-2900
(623) 583-1319
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
AP1677AZ
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870362
—
AZ
Enumeration date
08/30/2006
Last updated
01/12/2009
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