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Individual

MS. PAMELA BARBOUR PEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3125 N 32ND ST STE 200, PHOENIX, AZ 85018-6218
(602) 956-7481
(602) 956-7591
Mailing address
3125 N 32ND ST STE 200, PHOENIX, AZ 85018-6218
(602) 956-7481
(602) 956-7591

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
BN371-51
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CERTIFICATE NO. 298
STATE NURSE PRACTITIONER LICENSE # BN371-51
AZ
Enumeration date
05/17/2010
Last updated
05/17/2010
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