Individual
DIONNE LOUISE SHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 WILLOW CREEK RD STE D, PRESCOTT, AZ 86301-1645
(928) 237-9744
Mailing address
1000 WILLOW CREEK RD STE D, PRESCOTT, AZ 86301-1645
(928) 237-9744
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
243401
AZ
Other
Enumeration date
07/21/2020
Last updated
09/13/2021
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