Individual
QUEENDOLINE UNYIME EKPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3003 N CENTRAL AVE, SUITE # 800, PHOENIX, AZ 85012-2902
(904) 910-0125
Mailing address
3003 N CENTRAL AVE, SUITE # 800, PHOENIX, AZ 85012-2902
(904) 910-0125
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP4344
AZ
Other
Enumeration date
01/10/2012
Last updated
07/24/2015
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