Individual
LAURENTINE UWAMAHORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
64968
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP143751
TX
Other
Enumeration date
10/31/2019
Last updated
07/17/2023
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