Individual
COURTNEY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-7735
(602) 685-6000
Mailing address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-7735
(602) 685-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11575
AZ
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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