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Individual

MRS. JANE MESIKU ABUCHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, ACNP-BC

Contact information

Practice address
12851 W BELL RD STE 126, SURPRISE, AZ 85378-9610
(623) 399-9645
(866) 355-0977
Mailing address
12851 W BELL RD STE 126, SURPRISE, AZ 85378-9610
(623) 399-9645
(866) 355-0977

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4804
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
796987
AZ
Enumeration date
01/24/2013
Last updated
09/29/2021
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