DEAYRIE BONITA EVANS

LAVEEN, AZ
NPI1114425386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  TAP10919)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AZ  133069)
Enumeration Date2018-01-23
Last Update Date2018-01-24
Business Address
DEAYRIE BONITA EVANS NP
6228 S 54TH LN
LAVEEN, AZ 85339-9639
Phone number: 602-317-7427
Mailing Address
DEAYRIE BONITA EVANS NP
6228 S 54TH LN
LAVEEN, AZ 85339-9639
Phone number: