Individual
MS. GEORGETTE MEHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614-0504
(520) 407-5600
(520) 407-5990
Mailing address
1260 S CAMPBELL AVE, GREEN VALLEY, AZ 85614-0504
(520) 407-5600
(520) 407-5990
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
034561-23
NH
363LP0200X
Pediatric Nurse Practitioner
Primary
AP6435
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012356
—
VT
05
—
269608
—
AZ
05
—
30341776
—
NH
Enumeration date
05/16/2006
Last updated
04/21/2026
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