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Individual

MS. SUSAN E HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10270 N 67 AVE, SUITE 106, GLENDALE, AZ 85302-1005
(602) 389-3560
(623) 933-3510
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 685-6002

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4024
AZ

Other

Enumeration date
05/24/2011
Last updated
05/24/2011
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