Individual
MRS. MARY J BOOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1760 E PECOS RD STE 215, GILBERT, AZ 85295-3202
(480) 448-2411
Mailing address
840 E MCKELLIPS RD STE 105, MESA, AZ 85203-9654
(602) 491-0701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8986
AZ
Other
Enumeration date
10/18/2016
Last updated
06/11/2024
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