Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | AP4053 | AZ |
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN131725 | AZ |
NPI | 1023307881 |
---|---|
Provider Name | Ms. Angelina M Price |
First Address | Tucson, AZ 85756-7124 |
Second Address | Tucson, AZ 85724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 22/05/2013 |