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Individual

NANCY C BROC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
300 WEST CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3498
(602) 277-4161
(602) 266-3481
Mailing address
300 WEST CLARENDON AVE, SUITE 375, PHOENIX, AZ 85013-3498
(602) 277-4161
(602) 266-3481

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN007083
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TBD
AZ
Enumeration date
02/25/2008
Last updated
02/25/2008
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