Individual
JULIE LUCCHESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1064 E SHANNON CT, GILBERT, AZ 85295-4846
(480) 628-6458
Mailing address
1064 E SHANNON CT, GILBERT, AZ 85295-4846
(480) 628-6458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168875
AZ
207Q00000X
Family Medicine Physician
Primary
219643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219643
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
02/10/2017
Last updated
03/04/2019
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