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Individual

LINDA SHAETZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8766 EAST HWY 69, HUMBOLDT UNIFIED SCHOOL DISTRICT 22, PRESCOTT VALLEY, AZ 86314
(928) 759-4028
(928) 759-4030
Mailing address
6000 E LONG LOOK, PRESCOTT VALLEY, AZ 86314
(928) 759-4110
(928) 759-4073

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN049037
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
579534
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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