Individual
MARY STORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
10815 W MCDOWELL RD STE 202, AVONDALE, AZ 85392-5010
(623) 433-0202
(602) 433-0204
Mailing address
3815 E BELL RD STE 4500, PHOENIX, AZ 85032-2171
(602) 633-3848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
231250
AZ
Other
Enumeration date
08/20/2019
Last updated
07/31/2024
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