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NPI Code Detail

MEDICARE: DANICA OPARNICA CANP

MEDICARE: DANICA OPARNICA CANP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner62AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN052712OTHERAZAZ STATE BOARD OF NURSING
262OTHERAZNURSE PRACTITIONER CERTIF

General Provider Information

NPI Number : 1760532477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANICA OPARNICA CANP
Provider Business Mailing Address
First Line : 7000 N 16TH ST
Second Line : 262
City : PHOENIX
State : AZ
Zip : 85020-5547
Country : US
Telephone Number : 602-357-1163
Fax Number : 602-264-5803
Provider Business Practice Location Address
First Line : 7301 N 16TH ST STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-5266
Country : US
Telephone Number : 602-357-1163
Fax Number : 602-464-9628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 11/02/2022

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Directions to “ DANICA OPARNICA CANP” Practice Location

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