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Individual

MRS. BERNADINE R MIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(602) 528-1200
(602) 528-1255
Mailing address
483 W SEED FARM RD, SACATON, AZ 85147-2254
(520) 796-2714

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4823
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP4823
LICENSE FNP
AZ
Enumeration date
02/05/2013
Last updated
09/15/2021
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