Individual
MARY FRANCES MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2927 N 7TH AVE, PHOENIX, AZ 85013-4102
(602) 406-3153
(602) 406-7176
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4855
AZ
363LP2300X
Primary Care Nurse Practitioner
AP4855
AZ
Other
Enumeration date
02/27/2013
Last updated
11/12/2024
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