| Doctor Name: | MARILYN MASAYESVA |
| NPI Number: | 1881736072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN041425 |
| Business Practice Address: | Hwy 264, Mp 388 Polacca, AZ - 86042 |
| Business Phone Number: | 9287376000 |
| Business Fax Number: | 9287376369 |
| Mailing Address: | Po Box 4000, POLACCA |
| State: | AZ |
| Postal Code: | 860424000 |
| Phone Number: | 9287376000 |
| Fax Number: | 9287376369 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | RN041425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |