LOURDES CAROLYNE POTHAST

PEORIA, AZ
NPI1992574768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  300841)
Enumeration Date2023-12-21
Last Update Date2024-04-29
Business Address
LOURDES CAROLYNE POTHAST FNP
21753 N 77TH AVE
PEORIA, AZ 85382-2110
Phone number: 623-935-9600
Mailing Address
LOURDES CAROLYNE POTHAST FNP
14044 W CAMELBACK RD STE 204
LITCHFIELD PARK, AZ 85340-9426
Phone number: 623-935-9600
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