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Individual

LISA D'ALESSANDRO-BETANCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
11361 N 99TH AVE STE 200, PEORIA, AZ 85345-5470
(602) 636-1212
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 265-8338
(602) 265-8574

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3012
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN086946
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
897960
AZ
Enumeration date
11/14/2006
Last updated
01/29/2020
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