Organization
NURSE PRACTITIONER GUILD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE RAE SALEM N. P. (NURSE PRACTITIONER, PRESIDENT)
(928) 649-3805
Entity
Organization
Contact information
Practice address
601 W MINGUS AVE, COTTONWOOD, AZ 86326-4075
(928) 649-3805
Mailing address
PO BOX 3125, COTTONWOOD, AZ 86326-2590
(928) 649-3805
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN034491
AZ
Other
Enumeration date
04/13/2007
Last updated
11/19/2007
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