Individual
MISS KERRY LYNN CORDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-9768
(928) 289-6187
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-9768
(928) 289-6187
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN076343
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN076343
REGISTERED NURSE
AZ
Enumeration date
06/17/2019
Last updated
06/17/2019
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