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PATRICIA A STRUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 641-9486
(480) 500-8430
Mailing address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 641-9486
(480) 500-8430

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN059474
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z6510
HEALTHNET
AZ
01
500025788
RAILROAD MEDICARE
AZ
05
695421
AZ
Enumeration date
06/30/2005
Last updated
11/16/2020
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