Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 42336 | AZ |
NPI | 1487833752 |
---|---|
Provider Name | Mrs. Nancy S Youssef |
First Address | Peoria, AZ 85383-6661 |
Second Address | Phoenix, AZ 85006-2612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 15/05/2013 |