Organization
PATAKENS LTD
Active
Other names
DESERT VIEW HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L WEBB RN,MS,C-FNP (NURSE PRACTIONER/OWNER)
(928) 753-3332
Entity
Organization
Contact information
Practice address
1871 GATES AVE, KINGMAN, AZ 86401-4017
(928) 753-3332
(928) 753-2662
Mailing address
PO BOX 6215, KINGMAN, AZ 86402-6215
(928) 753-3332
(928) 753-2662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN049098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431817
—
AZ
01
—
DE5233
RAILROAD MEDICARE
AZ
Enumeration date
11/02/2007
Last updated
11/02/2007
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