Mary Denise Fabian

Individual provider Active NPI School Registered Nurse · Phoenix, AZ

NPI 1003391319 · NPPES record last updated Oct 2, 2018

Key facts

NPI
1003391319
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RN114193 (AZ)
Practice address
15002 N 32ND St
Phoenix, AZ 85032-4441
Phone
(602) 449-2051
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN114193AZMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN114193 AZ Yes

Addresses

Primary practice location

15002 N 32ND St
Phoenix, AZ 85032-4441

Mailing address

15002 N 32ND St
Phoenix, AZ 85032-4441
Phone (602) 449-2051

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · School Registered Nurse in Arizona

Sources for this page

Verify at the official NPI Registry.