Provider Demographics
NPI:1134246655
Name:CHAMBERS-PRYCE, AUDREA J (RN,MSN)
Entity type:Individual
Prefix:
First Name:AUDREA
Middle Name:J
Last Name:CHAMBERS-PRYCE
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 W ROOSEVELT
Mailing Address - Street 2:
Mailing Address - City:PHX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009
Mailing Address - Country:US
Mailing Address - Phone:602-442-2700
Mailing Address - Fax:
Practice Address - Street 1:3715 W ROOSEVELT
Practice Address - Street 2:
Practice Address - City:PHX
Practice Address - State:AZ
Practice Address - Zip Code:85009
Practice Address - Country:US
Practice Address - Phone:602-442-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN092701163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ571548OtherAHCCCS ID