Individual
MARY BIJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-FNP -C
Contact information
Practice address
4330 E UNIVERSITY DR, MESA, AZ 85205-7004
(480) 218-3280
(480) 324-2463
Mailing address
5099 W DOBBINS RD, LAVEEN, AZ 85339-9733
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN139148
AZ
363LF0000X
Family Nurse Practitioner
Primary
293860
AZ
Other
Enumeration date
06/16/2023
Last updated
02/08/2024
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