Individual
MARIA LINDA MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 795-7750
(520) 320-2155
Mailing address
2450 E RIVER RD, TUCSON, AZ 85718-6526
(520) 795-7750
(520) 320-2155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP8705
ARIZONA STATE LICENSE
AZ
01
—
RN151406
ARIZONA STATE LICENSE
AZ
Enumeration date
06/03/2016
Last updated
06/03/2016
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