Individual
ANNIE PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 E NORTHERN AVE, PHOENIX, AZ 85020-4274
(602) 331-1470
Mailing address
2762 W IVANHOE ST, CHANDLER, AZ 85224-3434
(602) 354-0830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271006
AZ
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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