Individual
MRS. ANN E. STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(480) 346-3023
(480) 346-3029
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(480) 346-3023
(480) 346-3029
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN044192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
613598
—
AZ
Enumeration date
10/05/2006
Last updated
07/09/2007
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