Individual
MARY FRAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15215 S 48TH ST STE 120, PHOENIX, AZ 85044-9137
(480) 428-0930
Mailing address
9900 N CENTRAL EXPY STE 500, DALLAS, TX 75231-0928
(480) 428-0930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5179
AZ
Other
Enumeration date
11/08/2013
Last updated
01/31/2026
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