Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP4744 | AZ |
NPI | 1003176777 |
---|---|
Provider Name | Jane Elizabeth Word |
First Address | Phoenix, AZ 85006-2779 |
Second Address | Scottsdale, AZ 85251-6432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 08/04/2020 |