Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | RN121124 | AZ |
NPI | 1336270834 |
---|---|
Provider Name | Mrs. Britt D Michie |
First Address | Phoenix, AZ 85012-3204 |
Second Address | Phoenix, AZ 85037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 17/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RN121124 | AZ STATE BOARD OF NURSING (01) | AZ |