Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP3008 | AZ |
NPI | 1073528824 |
---|---|
Provider Name | Jennifer Lynn Uretz |
First Address | Chandler, AZ 85224-5602 |
Second Address | Chandler, AZ 85224-5602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 26/08/2008 |