SHAWNEE RENEE FUDURICH FNP-C NPI 1861057507

NPI Information

Shawnee Renee Fudurich, FNP-C is a family nurse practitioner in Peoria, AZ with 5 years of experience. Shawnee Renee Fudurich, FNP-C NPI is 1861057507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10230 W HAPPY VALLEY PKWY STE 100
PEORIA, AZ
ZIP 85383-255
Phone: (623) 561-3030

The NPI 1861057507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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