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Individual

AMBER LARK PARIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
10350 E DREXEL RD UNIT 110, TUCSON, AZ 85747-9409
(520) 324-1727
(520) 324-1700
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-1727
(520) 324-1700

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
AP4412
AZ
363L00000X
Nurse Practitioner
Primary
AP4412
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
974356
AZ
Enumeration date
03/29/2012
Last updated
12/09/2022
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