Individual
JANE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
20379 N 55TH DR, GLENDALE, AZ 85308-9101
(910) 330-7229
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
219132
AZ
363LN0000X
Neonatal Nurse Practitioner
Primary
219132
AZ
Other
Enumeration date
01/16/2019
Last updated
02/22/2019
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