Individual
HEIDI SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12528 W MONTGOMERY RD, PEORIA, AZ 85383-5003
(236) 967-7546
Mailing address
12528 W MONTGOMERY RD, PEORIA, AZ 85383-5003
(236) 967-7546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN157801
AZ
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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