Individual
HEATHER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16169 N 158TH AVE, SURPRISE, AZ 85374-5806
(602) 663-7718
Mailing address
16169 N 158TH AVE, SURPRISE, AZ 85374-5806
(602) 663-7718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7539
AZ
Other
Enumeration date
01/02/2015
Last updated
05/31/2024
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