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NPI Code Detail

MEDICARE: HOPE E KURCZESKI PMHNP-BC

MEDICARE: HOPE E KURCZESKI PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN107173AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP4971AZ

General Provider Information

NPI Number : 1962840793
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOPE E KURCZESKI PMHNP-BC
Provider Business Mailing Address
First Line : 3003 N CENTRAL AVE STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2929
Country : US
Telephone Number : 602-462-1132
Fax Number : 844-710-6896
Provider Business Practice Location Address
First Line : 6151-6153 W OLIVE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85302-4598
Country : US
Telephone Number : 602-685-6000
Fax Number : 602-389-3599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2013
Last Update Date : 08/19/2020

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Directions to “ HOPE E KURCZESKI PMHNP-BC” Practice Location

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