Individual
MR. MICHAEL DEREK JAORASDR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
100 E CAMELBACK RD STE 108, PHOENIX, AZ 85012-1061
(602) 354-3925
(602) 354-3768
Mailing address
100 E CAMELBACK RD STE 108, PHOENIX, AZ 85012-1061
(602) 796-9867
(480) 664-6153
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
219543
AZ
363LF0000X
Family Nurse Practitioner
Primary
219543
AZ
Other
Enumeration date
02/07/2011
Last updated
02/11/2024
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