Individual
BRITANY R KORMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6859 E REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3628
(480) 632-1577
(480) 632-1574
Mailing address
6859 E REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3628
(480) 632-1577
(480) 632-1574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP4509
AZ
Other
Enumeration date
07/30/2012
Last updated
12/29/2017
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