Individual
JOANN OLAVA CALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4555 E INVERNESS AVE STE 112, MESA, AZ 85206-4630
(480) 830-3900
(480) 830-3901
Mailing address
PO BOX 30388, MESA, AZ 85275-0388
(480) 830-3902
(480) 830-3901
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN133413
AZ
363LF0000X
Family Nurse Practitioner
Primary
225910
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225910
AZ LIC
AZ
05
—
520875
—
AZ
Enumeration date
05/01/2019
Last updated
10/20/2022
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