Individual
SUSAN M HALLI-DEMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2827
AZ
363L00000X
Nurse Practitioner
RN148002
AZ
363LF0000X
Family Nurse Practitioner
209-004636
IL
Other
Enumeration date
08/11/2006
Last updated
09/08/2020
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