Individual
MARY ANN BOLYOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6206 W. BELL ROAD, #5, GLENDALE, AZ 85308
(602) 375-5440
(602) 375-5510
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN017541
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482538
—
AZ
Enumeration date
11/07/2006
Last updated
09/24/2013
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