Individual
MS. SUSAN JANE GERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1930 S ALMA SCHOOL RD, STE. A104, MESA, AZ 85210-3064
(483) 820-0825
(480) 820-7863
Mailing address
4220 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 279-7655
(602) 253-8891
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN038613
AZ
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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