Individual
MS. MARYLOU KARAMBIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Mailing address
PO BOX 860, 200 HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN199760
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020561
—
AZ
01
—
44922
NP LICENSE
KS
05
—
851791
—
AZ
01
—
RN199760
NP LICENSE
MA
Enumeration date
08/19/2013
Last updated
02/06/2014
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