Doctor Name: | MS. MARLYS KAY BALZER |
NPI Number: | 1033257381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN043287 |
Business Practice Address: | 400 W Elm Ave Flagstaff, AZ - 860011562 |
Business Phone Number: | 9287738102 |
Business Fax Number: | 9287738146 |
Mailing Address: | 749 E Crestview Ave, FLAGSTAFF |
State: | AZ |
Postal Code: | 860014717 |
Phone Number: | 9287790279 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN043287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |