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MRS. KATHLEEN MARGARET CHAMBERLAIN RN, BSN, CDE

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1831422617

Individual Registrant:
MRS. KATHLEEN MARGARET CHAMBERLAIN RN, BSN, CDE
Gender: F
Not Sole Proprietor

Location and contact information for practice:
200 WEST HOSPITAL DRIVE  WHITERIVER, AZ 85941 US
Tel: 928-338-4911  Fax: 928-338-3522

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-4911  Fax: 928-338-3522

Registration Information:
NPI: 1831422617
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
FL1610272
Y163WD0400XNursing Service Providers
Registered Nurse
ILCDE 2091-0069

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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