Individual
MRS. MARY LYNN TIESZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
13555 W MCDOWELL RD, STE. 209, GOODYEAR, AZ 85395-2624
(623) 512-4310
(623) 512-4311
Mailing address
13555 W MCDOWELL RD, STE. 209, GOODYEAR, AZ 85395-2624
(623) 512-4310
(623) 512-4311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN104549
AZ
Other
Enumeration date
10/09/2007
Last updated
04/21/2015
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