Individual provider · NPI-1

Mary Lou Aleck, PNP

Nurse Practitioner, Pediatrics · Phoenix, AZ

NPI number1992896534
StatusActive
Last updated in NPPESJun 18, 2009

Details

NPI
1992896534
Entity type
Individual (NPI-1)
Name
Mary Lou Aleck
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2006
Last updated
Jun 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics039615AZYes

Practice location

2601 E Roosevelt St
Department Of Pediatrics
Phoenix, AZ 85008-4973

Phone 602-344-5418 · Fax 602-344-5859

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034

Phone 602-470-5000

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