Individual
PAULA K DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(602) 462-1132
(844) 877-3840
Mailing address
1950 W PASEO MONSERRAT, TUCSON, AZ 85704-1329
(520) 465-8373
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN100957
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP 1757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805468
—
AZ
Enumeration date
01/17/2006
Last updated
08/05/2015
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