Individual
MADELINE KOELZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-9406
Mailing address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-9406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275472
AZ
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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