Individual
PATRICIA M WALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5777 E MAYO BLVD, MCSB, 2ND FLOOR, ENDO, PHOENIX, AZ 85054-4502
(480) 301-7092
Mailing address
5777 E MAYO BLVD, MCSB, 2ND FLOOR, ENDO, PHOENIX, AZ 85054-4502
(480) 301-7092
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4222
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
674510
—
AZ
Enumeration date
07/28/2006
Last updated
06/11/2012
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