Organization
MADISON SCHOOL DISTRICT #38
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA QUALLE DELLIS R.N., B.S.N. (SCHOOL NURSE)
(602) 664-7220
Entity
Organization
Contact information
Practice address
2002 E CAMPBELL AVE, PHOENIX, AZ 85016-5521
(602) 664-7220
(602) 664-7299
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7900
(602) 664-7999
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN048031
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555005
—
AZ
Enumeration date
02/02/2007
Last updated
08/13/2008
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