Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP5;77 | AZ |
NPI | 1003243643 |
---|---|
Provider Name | Marilyn Rose Schatz |
First Address | Mesa, AZ 85206-1749 |
Second Address | Mesa, AZ 85206-1749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2013 |
Last Update Date | 27/09/2013 |