LIE ADI DARMAWAN

SCOTTSDALE, AZ
NPI1417845819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  327086)
Additional Taxonomies163W00000X Registered Nurse
(Licence: UT  8519460-3102)
Enumeration Date2025-06-25
Last Update Date2025-10-24
Business Address
LIE ADI DARMAWAN DNP
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259-5499
Phone number: 480-301-8000
Mailing Address
LIE ADI DARMAWAN DNP
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7101
Phone number: 501-526-7858