Individual
SUSAN K HALFPOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0033
Mailing address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
(602) 279-0033
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP009261
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP009261
ARIZONA LPN
AZ
Enumeration date
04/04/2007
Last updated
07/08/2007
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