Individual
MARTHA AMERICA RUKAVENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 E INDIAN SCHOOL RD, R/S 151, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, R/S 151, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN149181
AZ
363LF0000X
Family Nurse Practitioner
Primary
272152
AZ
Other
Enumeration date
12/24/2021
Last updated
03/09/2022
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