Individual
KATIE PON RAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGAC-DNP
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(208) 921-5725
Mailing address
5109 N GRANITE REEF RD, SCOTTSDALE, AZ 85250-7422
(208) 921-5725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NA
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SELF
SELF
—
Enumeration date
11/19/2021
Last updated
11/19/2021
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