Individual
MICHELE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
AP10057
AZ
363LA2200X
Adult Health Nurse Practitioner
RN175096
AZ
Other
Enumeration date
04/20/2017
Last updated
06/18/2024
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