Individual
DEIRDRE PATRICIA MOUNTJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2680 S VAL VISTA DR, BLDG 13 UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220
Mailing address
2680 S VAL VISTA DR, BLDG 13 UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN079805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176851
—
AZ
Enumeration date
10/23/2006
Last updated
08/28/2012
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