Individual
MRS. ALISON FAYE DETHLEFS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15025 N THOMPSON PEAK PKWY, SCOTTSDALE, AZ 85260-2863
(855) 925-4733
Mailing address
15345 N SCOTTSDALE RD UNIT 1039, SCOTTSDALE, AZ 85254-3008
(480) 980-3565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172960
VA
363LF0000X
Family Nurse Practitioner
Primary
AP8873
AZ
Other
Enumeration date
10/06/2015
Last updated
03/12/2019
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