Individual
KASIE J BERRY-SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
1919 E THOMAS RD, MANAGED CARE, PHOENIX, AZ 85016-7710
(602) 933-1813
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0
AZ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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