Individual
JENNIFER NODERAMA FACURIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
655 S DOBSON RD, STE 214, CHANDLER, AZ 85224
(480) 857-2381
(480) 857-2407
Mailing address
3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
(602) 759-6883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
295649
AZ
363LF0000X
Family Nurse Practitioner
Primary
295649
AZ
Other
Enumeration date
08/03/2023
Last updated
10/09/2023
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