Individual
YVONNE MAESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
824 N 99TH AVE STE 107-108, AVONDALE, AZ 85323-5324
(623) 907-1457
(623) 775-2424
Mailing address
1855 W BASELINE RD STE 101, CREDENTIALING DEPARTMENT, MESA, AZ 85202-9098
(480) 831-7566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020040645
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN157950
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
09/15/2020
Last updated
11/27/2023
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