person
Lourdes Carolyne Pothast, FNP
Family Nurse Practitioner in Peoria, Arizona
NPI 1992574768

Lourdes Carolyne Pothast is a Family Nurse Practitioner based in Litchfield Park, AZ and is specialized in Family. Lourdes Carolyne Pothast practices in Peoria, AZ and has the professional credentials of FNP. The NPI Number for Lourdes Carolyne Pothast is 1992574768 and holds a License No. 300841 (Arizona).

The current practice location address for Lourdes Carolyne Pothast is 21753 N 77Th Ave, Peoria, AZ and can be reached out via phone at 623-606-2353 and via fax at 623-935-9602.

Location: 21753 N 77Th Ave, Peoria, AZ, 85340-9426
person
Provider Profile Details
NPI Number
1992574768
Provider Name
Lourdes Carolyne Pothast
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
21753 N 77Th Ave, Peoria, AZ, 85340-9426
Phone Number
623-606-2353
Fax Number
623-935-9602
Provider Enumeration Date
12/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21753 N 77Th Ave
City
State
Zip
85382-2110
Phone Number
623-606-2353
Fax Number
623-935-9602
person
Provider Business Mailing Address Details
Address
21753 N 77Th Ave
City
State
Zip
85382-2110
Phone Number
623-606-2353
Fax Number
623-935-9602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
300841 (Arizona)
Definition
Definition to come...
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