Individual
MRS. LAURA MARIE IDRISSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 E PLACITA CUESCO, SAHUARITA, AZ 85629-8610
(520) 245-7160
Mailing address
1064 W SEA STAR DR, TUCSON, AZ 85704-2536
(520) 245-7160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185183
AZ
363LF0000X
Family Nurse Practitioner
Primary
RNP307337
AZ
Other
Enumeration date
08/26/2021
Last updated
05/15/2024
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