Organization · Type 2 NPI
Ladys Choice LLC
Women's Health Nurse Practitioner · Pinetop, AZ
NPI number
1710026117
Active
Practice location
728 E White Mtn Blvd, Suite C
Pinetop, AZ 85935-2130
Fax (928) 367-4361
Mailing address
728 E White Mtn Blvd Ste # C, PO Box 2130
Pinetop, AZ 85935-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN071478 (AZ) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1710026117
Ladys Choice LLC's National Provider Identifier is 1710026117, issued on Feb 5, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Pinetop, AZ. The record was last updated on Aug 13, 2008.