Individual
MARIA A HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8687 E VIA DE VENTURA, SCOTTSDALE, AZ 85258-3347
(480) 609-9000
Mailing address
9510 N 82ND LN, PEORIA, AZ 85345-3120
(623) 330-9504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
053988
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053988
LPN
AZ
Enumeration date
01/17/2018
Last updated
01/17/2018
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