Individual provider · Type 1 NPI

Mary Bourne Collo, ANP05/

Adult Health Nurse Practitioner · Phoenix, AZ

NPI number 1932136728 Active

Practice location

650 E. Indian School Road, Research Service
Phoenix, AZ 85012-1892

Fax (602) 212-2097

Mailing address

1408 E Marshall Ave
Phoenix, AZ 85014-2358

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN018619 (AZ)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1932136728

Mary Bourne Collo, ANP05/'s National Provider Identifier is 1932136728, issued on Jun 27, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.