Individual
MRS. GEORGETTE MICHELLE-ANN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5663 E GRANT RD, TUCSON, AZ 85712-2211
(520) 433-4964
Mailing address
5663 E GRANT RD, TUCSON, AZ 85712-2211
(520) 433-4964
(520) 836-8807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337108
—
AZ
01
—
FQ031815
MEDICARE
—
Enumeration date
04/01/2008
Last updated
12/16/2022
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