Individual
PATRICIA GWEN FOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2010 INJO DR, LAKE HAVASU CITY, AZ 86403-5707
(928) 412-8420
Mailing address
2010 INJO DR, LAKE HAVASU CITY, AZ 86403-5707
(928) 412-8420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10341
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14032579
—
AZ
Enumeration date
06/09/2017
Last updated
03/25/2019
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