Individual
MRS. SUSAN E KRELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6000 S 7TH ST, PHOENIX, AZ 85042-4209
(602) 232-4983
(602) 243-4926
Mailing address
15781 S MAVERICK TRL, MAYER, AZ 86333-2309
(602) 232-4983
(602) 243-4926
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN032453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
761842
AHCCCS ID #
AZ
Enumeration date
04/03/2007
Last updated
07/08/2007
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