Organization
EMBRY WOMENS HEALTH LLC
Active
Organization
EMBRY WOMENS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOELLEN B EMBRY WHNP (PROVIDER)
(480) 376-2170
Entity
Organization
Contact information
Practice address
2204 S DOBSON ROAD, SUITE 203, MESA, AZ 85202
(480) 376-2170
(480) 699-0056
Mailing address
2204 S DOBSON ROAD, SUITE 203, MESA, AZ 85202
(480) 376-2170
(480) 699-0056
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
AP0240
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
AP0240
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP0240
AZ
Other
Enumeration date
08/05/2014
Last updated
12/15/2015
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