Individual provider · Type 1 NPI

Mary Ellen Radosevich, FNP-C

Family Nurse Practitioner · Phoenix, AZ

NPI number 1245534726 Active

Practice location

4375 E Irma Ln
Phoenix, AZ 85050-4312

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP3727 (AZ)
Family Nurse Practitioner Primary 363LF0000XAP3727 (AZ)

Family Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1245534726

Mary Ellen Radosevich, FNP-C's National Provider Identifier is 1245534726, issued on Dec 27, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 16, 2025.