Aleck, Mary Lou

Aleck, Mary Lou is an individual health care provider with primary practice located at 2601 E Roosevelt St Department Of Pediatrics, Phoenix AZ 85008-4973. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Aleck, Mary Lou can be contacted via phone (602) 344-5418.

Contact Information

Primary practice address
2601 E Roosevelt St Department Of Pediatrics Phoenix AZ 85008-4973
Phone: (602) 344-5418
Fax: (602) 344-5859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 039615 Arizona

Profile Details

NPI number 1992896534
LBN Legal business name Aleck, Mary Lou
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 18th, 2009 - about 17 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 1992896534 NPPES
Arizona MEDICAID 445868

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