Individual provider · Type 1 NPI
Renee Elise Lydiard
Family Nurse Practitioner · Phoenix, AZ
NPI number
1144987793
Active
Practice location
4213 E Avalon Dr
Phoenix, AZ 85018-7207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 266838 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144987793
Renee Elise Lydiard's National Provider Identifier is 1144987793, issued on Nov 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 21, 2021.