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Individual

MS. LARAYNE ANNETTE NESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1000 WILLOW CREEK RD, SUITE G, PRESCOTT, AZ 86301-1645
(928) 458-7343
(928) 257-4422
Mailing address
511 HALE ST, EATON RAPIDS, MI 48827-1829
(586) 531-8882

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3075
AZ
363LF0000X
Family Nurse Practitioner
AP60143760
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364981
AZ
Enumeration date
08/05/2008
Last updated
06/20/2013
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