Individual
MRS. LORENA BAQUIEL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19636 N 27TH AVE, PHOENIX, AZ 85027-4013
(623) 780-0100
Mailing address
4513 W RAVINA LN, ANTHEM, AZ 85086-1430
(602) 515-9723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
290519
AZ
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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