Individual provider · Type 1 NPI
Mary Elizabeth Lavalley, CPNP
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1609862531
Active
Practice location
5501 N 19th Ave Ste 400
Phoenix, AZ 85015-2456
Fax (602) 246-2853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP1091 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1609862531
Mary Elizabeth Lavalley, CPNP's National Provider Identifier is 1609862531, issued on Sep 26, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 25, 2019.