Individual
CORLISA STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8363 W MORTEN AVE, GLENDALE, AZ 85305-3937
(205) 834-0992
Mailing address
8363 W MORTEN AVE, GLENDALE, AZ 85305-3937
(205) 834-0992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN207585
AZ
Other
Enumeration date
09/09/2024
Last updated
02/04/2026
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