Individual
MRS. MARIVIC BADILLA GUANSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6820 E BROWN RD, MESA, AZ 85207
(480) 718-1285
(602) 830-6014
Mailing address
6820 E BROWN RD, MESA, AZ 85207-3705
(480) 718-1285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11495
AZ
Other
Enumeration date
08/09/2018
Last updated
04/10/2023
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