Nalley, Mitzi D

Nalley, Mitzi D is an individual health care provider with primary practice located at 668 E Penny Ln , San Tan Valley AZ 85140-4152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nalley, Mitzi D can be contacted via phone (480) 677-3842.

Contact Information

Primary practice address
668 E Penny Ln San Tan Valley AZ 85140-4152
Phone: (480) 677-3842
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2945 Arizona

Profile Details

NPI number 1598722324
LBN Legal business name Nalley, Mitzi D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598722324 NPPES
Arizona MEDICAID 908238

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