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Individual

ELIZABETH AGUILERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
500 W THOMAS RD STE 600, PHOENIX, AZ 85013-4221
(602) 406-1140
(602) 406-1149
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP10680
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP10680
AZ

Other

Enumeration date
02/05/2018
Last updated
12/10/2024
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