Individual
JULIE ANN SISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(602) 764-0834
(602) 871-2963
Mailing address
6201 N 16TH ST APT 107, PHOENIX, AZ 85016-1740
(602) 413-1907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP030832
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146534
—
AZ
Enumeration date
04/02/2007
Last updated
07/08/2007
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