Individual
ADELLA DEHARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
337 E CORONADO RD, SUITE 201, PHOENIX, AZ 85004-1580
(480) 610-6189
Mailing address
2149 E WARNER RD, SUITE 102, TEMPE, AZ 85284-3494
(480) 610-6189
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7424
AZ
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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