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NANCY DESANTIS

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1356747117

Individual Registrant:
 NANCY  DESANTIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
393 WEST KA 2010 US HIGHWAY 163  KAYENTA, AZ 86033 US
Tel: 928-697-4100  Fax: --

Contact information for business:
393 WEST KA 2010 US HIGHWAY 163  KAYENTA, AZ 86033 US
Tel: 814-860-6577  Fax: --

Registration Information:
NPI: 1356747117
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
PARN627434

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DR LICENSE15181799PA01
RN LICENSERN627434PA01




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