Individual
CHINASA VENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14811 W BELL RD STE 100, SURPRISE, AZ 85374-7602
(623) 328-7323
Mailing address
14811 W BELL RD STE 100, SURPRISE, AZ 85374-7602
(623) 328-7323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
270419
AZ
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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