Individual
MR. EARL ROBERT NORDBY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5920 W MCDOWELL RD, PHOENIX, AZ 85035-4853
(623) 245-0440
Mailing address
12078 N 140TH LN, SURPRISE, AZ 85379-4931
(602) 481-0034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
248591
AZ
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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