Individual
NATALIJA DE RETANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
5882 S HOSPITAL DR, GLOBE, AZ 85501-9455
(928) 793-3747
Mailing address
5882 S HOSPITAL DR, GLOBE, AZ 85501-9455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP10895
AZ
363LG0600X
Gerontology Nurse Practitioner
AP10895
AZ
Other
Enumeration date
01/16/2018
Last updated
10/30/2018
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