Individual
MARY ELLEN RADOSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
Mailing address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP3727
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3727
AZ
Other
Enumeration date
12/27/2010
Last updated
03/16/2025
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