Individual
MISTY ELAINE DAUGHTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
6036 N 19TH AVE STE 502, PHOENIX, AZ 85015-2143
(623) 738-0193
(623) 745-0801
Mailing address
6036 N 19TH AVE STE 502, PHOENIX, AZ 85015-2143
(623) 738-0193
(623) 745-0801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250593
AZ
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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