Individual
NANCY DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 WEST KA 2010 US HIGHWAY 163, KAYENTA, AZ 86033
(928) 697-4100
Mailing address
393 WEST KA 2010 US HIGHWAY 163, KAYENTA, AZ 86033
(814) 860-6577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN627434
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15181799
DR LICENSE
PA
01
—
RN627434
RN LICENSE
PA
Enumeration date
11/06/2014
Last updated
11/06/2014
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