Doctor Name: | MS. LORRAINE SUSAN AGUILAR |
NPI Number: | 1154406874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNP WHC |
License Number: | RN054605 |
Business Practice Address: | 483 W. Seed Farm Rd. #3 Sacaton, AZ - 85147 |
Business Phone Number: | 6025281400 |
Business Fax Number: | 6025281402 |
Mailing Address: | 483 W. Seed Farm Rd., #3 SACATON |
State: | AZ |
Postal Code: | 85147 |
Phone Number: | 6025281400 |
Fax Number: | 6025281402 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN054605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |