Individual
MS. DONISHA DAWN PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3606 E BASELINE RD, #209, PHOENIX, AZ 85042-7202
(603) 957-0540
Mailing address
815 RIVERVIEW DR, FLORENCE, AL 35630-5927
(603) 957-0540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3181
AZ
Other
Enumeration date
08/11/2008
Last updated
01/05/2016
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