MISTY MAPLE

LAKE HAVASU CITY, AZ
NPI1891146957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  AP8774)
Enumeration Date2016-06-29
Last Update Date2023-02-10
Business Address
MISTY MAPLE FNP-C
297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403-6526
Phone number: 928-453-1970
Mailing Address
MISTY MAPLE FNP-C
4115 VAGABOND DR
LAKE HAVASU CITY, AZ 86406-9230
Phone number: 928-680-0149
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