Individual
MARY JO COLORAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20401 N 73RD ST STE 105, SCOTTSDALE, AZ 85255-4146
(480) 505-3484
(480) 505-3348
Mailing address
2510 W DUNLAP AVE, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 870-7566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN048547
AZ
363L00000X
Nurse Practitioner
Primary
AP1544
AZ
363L00000X
Nurse Practitioner
RN048547
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497793137
MEDICARE UPIN P83976
AZ
05
—
261959
—
AZ
05
—
834574
—
AZ
Enumeration date
06/03/2006
Last updated
03/07/2023
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