Individual
MS. MICHELLE SUZANNE DEPIETRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN,NNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX CHILDREN'S HOSPITAL - NICU, PHOENIX, AZ 85016-7710
(602) 239-5166
Mailing address
2329 W SAINT MORITZ LN, PHOENIX, AZ 85023-5039
(602) 546-1454
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN057244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN057244
NURSING LICENSE
AZ
Enumeration date
05/19/2006
Last updated
07/08/2007
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