Individual
ALISA VADASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2187 N VICKEY ST STE 2, FLAGSTAFF, AZ 86004-6121
(928) 714-5322
(928) 526-9503
Mailing address
1834 N EDGEWOOD ST, FLAGSTAFF, AZ 86004-8711
(928) 522-0543
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5077
AZ
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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