Individual
TONIA ANNE ISOTALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241435
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006995
—
AZ
Enumeration date
05/22/2020
Last updated
07/20/2021
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