Individual
JENNIFER KAY VAN GYSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 W MAYA WAY, PHOENIX, AZ 85085-1737
(623) 445-8211
Mailing address
2200 W MAYA WAY, PHOENIX, AZ 85085-1737
(623) 445-8211
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN207401
AZ
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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