Individual
PHAEDRA DOCKRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8530 N 55TH AVE, GLENDALE, AZ 85302-4734
(623) 237-4810
(623) 237-4815
Mailing address
8530 N 55TH AVE, GLENDALE, AZ 85302-4734
(623) 237-4810
(623) 237-4815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
267363
NC
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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