Individual
BERNADETTE MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-4063
(602) 933-2423
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5740755-1206
UT
363AM0700X
Medical Physician Assistant
Primary
5096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680540
—
AZ
Enumeration date
11/03/2006
Last updated
06/11/2018
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