Individual
DR. MAYUREE SIRIPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNS, FNP-BC
Contact information
Practice address
242 N 1ST AVE, THATCHER, AZ 85552-4402
(928) 348-8930
Mailing address
242 N 1ST AVE, THATCHER, AZ 85552-4402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4090
AZ
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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