Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 36 | AZ |
NPI | 1013082700 |
---|---|
Provider Name | Karren Lefevre |
First Address | Tucson, AZ 85716-3808 |
Second Address | Tucson, AZ 85711-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |