Individual
JOAN ARDAVANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 S. COUNTRY CLUB DR., #30, MESA, AZ 85210
(480) 505-0500
Mailing address
1440 S COUNTRY CLUB DR, #30, MESA, AZ 85210-9701
(480) 505-0500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7882
AZ
Other
Enumeration date
07/02/2015
Last updated
04/22/2016
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