Individual
MS. MARY ANNE SCHILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
167 N. MAIN ST., TCRHCC, TUBA CITY, AZ 86045-0600
(928) 283-2583
Mailing address
PO BOX 3450, TUBA CITY, AZ 86045-3450
(928) 283-5565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117065
AZ
163WE0900X
Enterostomal Therapy Registered Nurse
RN17065
AZ
163WI0500X
Infusion Therapy Registered Nurse
RN117065
AZ
163WW0000X
Wound Care Registered Nurse
Primary
RN117065
AZ
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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