Individual
MARIAN J LETELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4201 N 16TH ST STE 250, PHOENIX, AZ 85016-5375
(602) 685-6000
(602) 248-8936
Mailing address
3003 N CENTRAL AVE STE 200, PHOENIX, AZ 85012-2914
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP1242
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN085152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553679
—
AZ
Enumeration date
07/08/2006
Last updated
12/06/2016
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