Individual
MYRA F NKULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S HIGHWAY 87, WINSLOW, AZ 86047-9789
(928) 289-9551
Mailing address
1609 56TH ST, LUBBOCK, TX 79412-2803
(806) 317-8533
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
238661
AZ
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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