Individual
MS. MARY BOURNE COLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP05/
Contact information
Practice address
650 E. INDIAN SCHOOL ROAD, RESEARCH SERVICE, PHOENIX, AZ 85012-1892
(602) 277-5551
(602) 212-2097
Mailing address
1408 E MARSHALL AVE, PHOENIX, AZ 85014-2358
(602) 230-9336
(602) 277-7824
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN018619
AZ
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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