Individual
BECKY VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4136 N 75TH AVE, STE 101, PHOENIX, AZ 85033-3171
(623) 849-2220
(623) 849-2574
Mailing address
1343 N ALMA SCHOOL RD, STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
074771
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3400
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623480
—
AZ
01
—
AP3400
AZ BOARD OF NURSING
AZ
Enumeration date
03/30/2007
Last updated
09/07/2016
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