Individual
BRIAN HUALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0016
(602) 933-4318
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(602) 933-8972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN183515
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
241654
AZ
Other
Enumeration date
03/05/2020
Last updated
12/10/2020
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