Individual
BRITTANY IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(480) 339-1780
Mailing address
4041 S MCCLINTOCK DR STE 302, TEMPE, AZ 85282-5879
(480) 339-1780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252715
AZ
164X00000X
Licensed Vocational Nurse
VN 686576
CA
Other
Enumeration date
02/07/2017
Last updated
02/13/2022
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