Individual
RISE GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
5750 E HIGHWAY 90 STE 200, SIERRA VISTA, AZ 85635-9113
(520) 263-3620
Mailing address
10605 E RIO VERDE DR, HEREFORD, AZ 85615-8308
(520) 559-3764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
267132
AZ
363LP1700X
Perinatal Nurse Practitioner
267132
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
267132
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
267132
AZ
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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