Individual
SURI ZADAI RAUDALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
(602) 636-4605
Mailing address
11361 N 99TH AVE STE 402, PEORIA, AZ 85345-5459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP236409
AZ
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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