Individual
ERENDIRA JOHANA DEGANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 530-6900
Mailing address
1510 E FLOWER ST, PHOENIX, AZ 85014-5698
(602) 530-6900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
273154
AZ
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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