Cordell, Mary E

Cordell, Mary E is an individual health care provider with primary practice located at 628 N Center St , Mesa AZ 85201-5064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cordell, Mary E can be contacted via phone (602) 685-6000.

Contact Information

Primary practice address
628 N Center St Mesa AZ 85201-5064
Fax: (602) 685-6001
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN080120 Arizona

Profile Details

NPI number 1992751499
LBN Legal business name Cordell, Mary E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 19th, 2012 - about 12 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 1992751499 NPPES
Arizona MEDICAID 425828

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