Individual
DEANNA GEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-5146
(602) 344-5149
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN104591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586057
—
AZ
Enumeration date
12/27/2010
Last updated
08/02/2013
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