Healthcare Provider Details

I. General information

NPI: 1548419245
Provider Name (Legal Business Name): JOYCE MAURER LINDQUIST RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 N IDAHO RD
APACHE JUNCTION AZ
85219-1716
US

IV. Provider business mailing address

1785 N IDAHO RD
APACHE JUNCTION AZ
85219-1716
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-1110
  • Fax:
Mailing address:
  • Phone: 480-982-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN146313
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: