Individual
MISTELLE ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-7775
Mailing address
4019 S MINGUS DR, CHANDLER, AZ 85249-5536
(602) 741-6970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN113889
AZ
363LF0000X
Family Nurse Practitioner
Primary
246662
AZ
Other
Enumeration date
01/19/2020
Last updated
12/01/2020
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