Individual
MIRIAM ELIZABETH KING-DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(602) 434-6164
Mailing address
18404 N TATUM BLVD, SUITE 101, PHOENIX, AZ 85032-1510
(602) 992-1900
(602) 485-7440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN178591
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743768
—
AZ
Enumeration date
05/02/2007
Last updated
02/01/2016
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