Individual
MISS KATHRYN JOY PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
14478 W WINDSOR AVE, GOODYEAR, AZ 85395-2035
(602) 320-4818
(623) 320-4818
Mailing address
14478 W WINDSOR AVE, GOODYEAR, AZ 85395-2035
(602) 320-4818
(623) 320-4818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1240
AZ
363LF0000X
Family Nurse Practitioner
APRN11022406
FL
363LF0000X
Family Nurse Practitioner
C-APN.0004221-C-NP
CO
363LW0102X
Women's Health Nurse Practitioner
AP7236
AZ
Other
Enumeration date
02/27/2006
Last updated
06/14/2023
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