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Individual

MRS. MICHELE ANN PELUSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5145 W THUNDERBIRD RD, GLENDALE, AZ 85306-4836
(602) 978-5600
(602) 978-6445
Mailing address
5145 W THUNDERBIRD RD, GLENDALE, AZ 85306
(602) 978-5600
(602) 978-6445

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2355
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP2355
LICENSE #
AZ
Enumeration date
10/04/2006
Last updated
04/23/2008
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