Individual
MRS. JOYCE MARIE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, ANP-C
Contact information
Practice address
3430 N MOUNTAIN RDG, 58, MESA, AZ 85207-1070
(480) 924-7440
Mailing address
3430 N MOUNTAIN RDG, 58, MESA, AZ 85207-1070
(480) 924-7440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN059869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616716-01
—
AZ
05
—
PNP13DURHJ
—
AZ
01
—
Z123501
MEDICARE PIN
AZ
Enumeration date
03/30/2006
Last updated
09/10/2008
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