Individual
MARY ACHTZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15778 W YUMA RD, GOODYEAR, AZ 85338-3358
(623) 932-7500
Mailing address
3841 N 21ST DR, PHOENIX, AZ 85015-5411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN062176
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN062176
—
AZ
Enumeration date
01/22/2019
Last updated
01/22/2019
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