Individual
DANA RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5421 W THUNDERBIRD RD, GLENDALE, AZ 85306-4751
(888) 698-6727
Mailing address
3540 E CROCUS DR, PHOENIX, AZ 85032-5347
(888) 698-6727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236349
AZ
Other
Enumeration date
03/11/2020
Last updated
09/05/2021
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