Search › Arizona › 367A00000X
Jennifer Nydam, R.N., C.N.M
NPI 1407958432 · on the registry since 2006
Practice
- Address
- Corner Of Route N12 And N7
Ft Defiance, AZ 86504 - Phone
- (928) 729-8000
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Also registered as
- 367A00000X
- Licence states on file
- CA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona