Provider Demographics
NPI:1235808205
Name:DUFFETT, NAOMI ARLENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:ARLENE
Last Name:DUFFETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10097
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85130-0020
Mailing Address - Country:US
Mailing Address - Phone:520-836-3446
Mailing Address - Fax:520-836-8807
Practice Address - Street 1:23 S MCNAB PKWY
Practice Address - Street 2:
Practice Address - City:SAN MANUEL
Practice Address - State:AZ
Practice Address - Zip Code:85631-1156
Practice Address - Country:US
Practice Address - Phone:520-385-2234
Practice Address - Fax:520-381-3209
Is Sole Proprietor?:No
Enumeration Date:2021-09-12
Last Update Date:2022-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ262996363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily