ELAINE MARIE NEW MOON

PHOENIX, AZ
NPI1962628271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  RN064934)
Enumeration Date2007-04-17
Last Update Date2009-05-18
Business Address
ELAINE MARIE NEW MOON FNP
4520 N CENTRAL AVE STE 130 WILCOX SUMMER HAWK RANCH
PHOENIX, AZ 85012-1804
Phone number: 602-424-1600
Mailing Address
ELAINE MARIE NEW MOON FNP
4520 N CENTRAL #130 WILCOX SUMMER HAWK RANCH
PHOENIX, AZ 85012
Phone number: 602-424-1600