Individual
BILLIE JEAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 222-6513
Mailing address
PO BOX 7243, PHOENIX, AZ 85011-7243
(602) 973-5759
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN070242
AZ
163WE0900X
Enterostomal Therapy Registered Nurse
RN070242
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2909
AZ
Other
Enumeration date
11/09/2006
Last updated
06/16/2008
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