Most Relevant Information
Provider Data
| NPI Number: | 1003391707 |
| Provider Name: | ELIZA BAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | RN213779 |
Most Important Dates
| Enumeration Date: | 09/27/2018 |
| Last Updated: | 09/27/2018 |
Provider Practice Location
15002 N 32ND ST
PHOENIX
AZ
85032
Practice Location Phone/Fax
| Phone: | 6024492051 |
| Fax: |
Provider Mailing Location
15002 N 32ND ST
PHOENIX
AZ
850324441
Provider Mailing Phone/Fax
| Phone: | 6024492051 |
| Fax: |