Individual
MRS. ERIN MARIE THARALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 261-6867
Mailing address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 261-6867
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN102767
AZ
Other
Enumeration date
09/24/2006
Last updated
11/27/2011
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