Individual
NISHA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4446 W TOWNLEY AVE, GLENDALE, AZ 85302-5337
(623) 476-7843
Mailing address
4446 W. TOWNLEY AVE, GLENDALE, AZ 85302
(623) 476-7843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3695
AZ
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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