Individual
EDMUND ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP - C
Contact information
Practice address
17487 S HEALTHCARE DR, LAVEEN, AZ 85339-8500
(520) 550-6000
(520) 550-6027
Mailing address
PO BOX 115, SACATON, AZ 85147-0002
(520) 796-2600
(602) 528-1296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11046
AZ
363LF0000X
Family Nurse Practitioner
APN0000022725
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP11046
AZ
Other
Enumeration date
11/07/2017
Last updated
03/18/2026
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