Individual
LORA PEDROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
64 E BROADWAY RD, TEMPE, AZ 85282-1353
(928) 655-6679
Mailing address
1226 E TREMAINE AVE, GILBERT, AZ 85234-4879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
305971
AZ
Other
Enumeration date
02/26/2024
Last updated
12/28/2024
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