Individual
VANESSA R. OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13733 N PRASADA PKWY STE 100, SURPRISE, AZ 85388-8014
(623) 444-7100
(623) 748-9003
Mailing address
13733 N PRASADA PKWY STE 100, SURPRISE, AZ 85388-8014
(623) 444-7100
(623) 748-9003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5604
AZ
Other
Enumeration date
01/21/2014
Last updated
03/01/2024
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