Individual
LYNN PREUDHOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2727 W BELL RD, PHOENIX, AZ 85053-3059
(615) 425-4200
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5253
AZ
363LP2300X
Primary Care Nurse Practitioner
AP5253
AZ
Other
Enumeration date
10/24/2013
Last updated
06/24/2021
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