Individual
MERCY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22707 S ELLSWORTH RD, QUEEN CREEK, AZ 85142-6131
(480) 677-3494
Mailing address
22707 S ELLSWORTH RD, QUEEN CREEK, AZ 85142-6131
(480) 677-3494
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2467665
AZ
363LP2300X
Primary Care Nurse Practitioner
F09200264
AZ
Other
Enumeration date
09/18/2020
Last updated
10/27/2020
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