Individual
MRS. DEEANN TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3489 E BASELINE RD, GILBERT, AZ 85234
(480) 542-1212
(888) 979-8197
Mailing address
17823 S 144TH ST, GILBERT, AZ 85297
(801) 458-1730
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
274605
AZ
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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