MEDICARE: EMMA LAUNDER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	238469	AZ

General Provider Information

NPI Number	:	1487439782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA LAUNDER RN

Provider Business Mailing Address
First Line	:	3827 N 8TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2612
Country	:	US
Telephone Number	:	602-839-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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