Laloudakis, Despina

Laloudakis, Despina is an individual health care provider with primary practice located at 4530 E Muirwood Dr Suite 105, Phoenix AZ 85048-7639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Laloudakis, Despina can be contacted via phone (480) 961-2303.

Contact Information

Primary practice address
4530 E Muirwood Dr Suite 105 Phoenix AZ 85048-7639
Phone: (480) 961-2303
Fax: (480) 961-0419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN089214 Arizona

Profile Details

NPI number 1497727192
LBN Legal business name Laloudakis, Despina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jan 18th, 2008 - about 16 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 1497727192 NPPES
Arizona Other 2Z1482 HEALTHNET
Arizona MEDICAID 504086 HEALTHNET

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