Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | 224073 | AZ |
NPI | 1023573359 |
---|---|
Provider Name | Ashley Zurcher |
First Address | Yuma, AZ 85364-8705 |
Second Address | Yuma, AZ 85364-8705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2019 |
Last Update Date | 28/03/2019 |