Individual
MS. SUSAN RAYE KUCHARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CPNP
Contact information
Practice address
222 W THOMAS RD, SUITE 200, PHOENIX, AZ 85013-4419
(602) 406-3522
(602) 294-5129
Mailing address
222 W THOMAS RD, SUITE 200, PHOENIX, AZ 85013-4419
(602) 406-3522
(602) 294-5129
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN024405
AZ
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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