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Individual

MS. ERNASHA K. MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
US 191 AZ 264, HC 58, SAGE MEMORIAL HOSPITAL, GANADO, AZ 86505
(928) 755-4501
Mailing address
PO BOX 457, GANADO, AZ 86505-0457
(928) 755-4870

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235832
AZ

Other

Enumeration date
12/26/2019
Last updated
12/26/2019
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