Individual
GERALDINE LIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3735 ARIZONA 95, BULLHEAD CITY, AZ 86442-5388
(928) 444-1444
Mailing address
3735 ARIZONA 95, BULLHEAD CITY, AZ 86442
(928) 444-1444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211377
AZ
363LF0000X
Family Nurse Practitioner
100459
GU
363LF0000X
Family Nurse Practitioner
Primary
270797
AZ
Other
Enumeration date
10/13/2021
Last updated
06/12/2025
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