Provider Demographics
NPI:1669433504
Name:DURHAM, JOYCE MARIE (MSN, FNP-C, ANP-C)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MARIE
Last Name:DURHAM
Suffix:
Gender:F
Credentials:MSN, FNP-C, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 N MOUNTAIN RDG
Mailing Address - Street 2:58
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1070
Mailing Address - Country:US
Mailing Address - Phone:480-924-7440
Mailing Address - Fax:
Practice Address - Street 1:3430 N MOUNTAIN RDG
Practice Address - Street 2:58
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-1070
Practice Address - Country:US
Practice Address - Phone:480-924-7440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN059869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZPNP13DURHJMedicaid
AZ616716-01Medicaid
AZZ123501OtherMEDICARE PIN
AZZ123501OtherMEDICARE PIN
AZP38884Medicare UPIN