Individual
MR. DANIEL CARMEN FORDIANI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, A-GNP-C
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
17900 N HAYDEN RD APT 3040, SCOTTSDALE, AZ 85255-6731
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
291390
AZ
Other
Enumeration date
02/06/2023
Last updated
05/31/2023
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