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Individual

MS. ELISABET PRIETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1920 E CAMBRIDGE AVE, SUITE 301, PHOENIX, AZ 85006-1459
(602) 253-6000
Mailing address
16023 N 19TH DR, PHOENIX, AZ 85023-7280
(305) 804-3903

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP2694
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 2786372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051188-00
FL
Enumeration date
06/22/2005
Last updated
05/12/2008
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