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Individual

EMILY R RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACNP

Contact information

Practice address
1111 EAST MCDOWELL ROAD, BANNER GOOD SAMARITAN ACADEMIC MEDICAL SERVICES, PHOENIX, AZ 85006
(602) 239-5982
(602) 239-5918
Mailing address
1111 EAST MCDOWELL ROAD, BANNER GOOD SAMARITAN ACADEMIC MEDICAL SERVICES, PHOENIX, AZ 85006
(602) 239-5982
(602) 239-5918

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129920
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP3455
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
476033
AZ
Enumeration date
11/03/2009
Last updated
12/01/2010
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