Individual
MS. ANNMARIE MASSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OGNP
Contact information
Practice address
919 12TH PL, #1, PRESCOTT, AZ 86305-1433
(928) 778-4300
(928) 771-0920
Mailing address
919 12TH PL, SUITE 1, PRESCOTT, AZ 86305-1433
(928) 778-4300
(928) 771-0920
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN034359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
557291
—
AZ
Enumeration date
02/01/2007
Last updated
03/21/2012
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