Individual
MS. ELISE CORRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1611 W FILLMORE ST, PHOENIX, AZ 85007-2214
(602) 257-3855
Mailing address
1611 W FILLMORE ST, PHOENIX, AZ 85007-2214
(602) 257-3855
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
185294
AZ
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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