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Individual

MS. EMILY ROSE CORAZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNM, WHNP-BC

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1557
Mailing address
4629 E DESERT DR, PHOENIX, AZ 85044-5702
(480) 516-8286

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP4355
AZ
363LW0102X
Women's Health Nurse Practitioner
AP4411
AZ
367A00000X
Advanced Practice Midwife
Primary
AP4411
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
697169
AZ
Enumeration date
01/25/2012
Last updated
12/16/2020
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