Individual provider · NPI-1

Mistelle Allan, NP

Nurse Practitioner, Family · Mesa, AZ

NPI number1154951150
StatusActive
Last updated in NPPESDec 1, 2020

Details

NPI
1154951150
Entity type
Individual (NPI-1)
Name
Mistelle Allan
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2020
Certification date
Dec 1, 2020
Last updated
Dec 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family246662AZYes
163W00000X Registered NurseRN113889AZ

Practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Phone 480-412-7775

Mailing address

4019 S Mingus Dr
Chandler, AZ 85249-5536

Phone 602-741-6970

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