Individual
MARY ANN PASTERNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1016 W UNIVERSITY AVE, STE 206, FLAGSTAFF, AZ 86001-2994
(928) 266-1530
(928) 266-1531
Mailing address
1016 W UNIVERSITY AVE, STE 206, FLAGSTAFF, AZ 86001-2996
(928) 266-1530
(928) 683-4674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AZ0647
AZ
Other
Enumeration date
01/01/2007
Last updated
10/02/2016
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