Individual
SUSAN MARCANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1674
(602) 230-7982
Mailing address
1661 E CAMELBACK RD, SUITE 160, PHOENIX, AZ 85016-3911
(602) 241-1674
(602) 230-7982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1763
AZ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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