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Doctors / AZ
NURSE PRACTITIONER
Medical school: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1083585319
PO BOX, SUITE 29650
PHOENIX, AZ 85038
222 S MAIN ST, SUITE 500
SALT LAKE CITY, UT 841012275
Source: CMS National Downloadable File, September 2026.