Individual
DIANA MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2585 MIRACLE MILE STE 116, BULLHEAD CITY, AZ 86442-7562
(928) 704-1221
Mailing address
2220 SHADOW CANYON DR, BULLHEAD CITY, AZ 86442-8709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP10267
AZ
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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