Individual
MS. MARY E CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
628 N CENTER ST, MESA, AZ 85201-5064
(602) 685-6000
(602) 685-6001
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 685-6001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN080120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425828
—
AZ
Enumeration date
05/26/2006
Last updated
04/19/2012
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