Individual
PAULA JEAN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5050 W BASELINE RD, LAVEEN, AZ 85339-7324
(866) 389-2727
Mailing address
5050 W BASELINE RD, LAVEEN, AZ 85339-7324
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219315
AZ
Other
Enumeration date
11/30/2005
Last updated
05/10/2023
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