Individual
PAULINE LERMA NEISWONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2842 E INCA LN, SAN TAN VALLEY, AZ 85140-1324
(480) 323-3000
Mailing address
2842 E INCA LN, SAN TAN VALLEY, AZ 85140-1324
(480) 323-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234646
AZ
Other
Enumeration date
12/05/2019
Last updated
05/21/2021
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