Individual
JOYCE D PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5651 N 7TH STREET, PHOENIX, AZ 85014
(520) 784-5827
(520) 622-8743
Mailing address
5651 N 7TH STREET, PHOENIX, AZ 85014
(520) 784-5827
(520) 622-8743
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN076721
AZ
207V00000X
Obstetrics & Gynecology Physician
RN076721
AZ
363L00000X
Nurse Practitioner
Primary
AP0271
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342080
—
AZ
Enumeration date
05/29/2007
Last updated
06/19/2009
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