Individual
KYLA WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6434 W CAVEDALE DR, PHOENIX, AZ 85083-6592
(480) 577-4298
Mailing address
41810 N VENTURE DR, UNIT D136, ANTHEM, AZ 85086-3174
(480) 577-4298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232065
AZ
Other
Enumeration date
01/01/2020
Last updated
04/01/2020
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