Individual
CLAUDIA CLOE VENICE ZIRKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2811 E SIESTA LN, PHOENIX, AZ 85050-3413
(480) 201-2563
Mailing address
2811 E SIESTA LN, PHOENIX, AZ 85050-3413
(480) 201-2563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1275272171
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/31/2022
Last updated
09/09/2022
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