Individual
MS. MARTHA DAVIDOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
651 W COOLIDGE ST, PHOENIX, AZ 85013-2718
(602) 248-0550
(602) 248-0557
Mailing address
3423 S TERRACE RD, TEMPE, AZ 85282-5538
(480) 820-1269
(602) 248-0557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN082184
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327313
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
01/11/2007
Last updated
07/08/2007
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