Walo, Patricia M

Walo, Patricia M is an individual health care provider with primary practice located at 5777 E Mayo Blvd Mcsb, 2Nd Floor, Endo, Phoenix AZ 85054-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Walo, Patricia M can be contacted via phone (480) 301-7092.

Contact Information

Primary practice address
5777 E Mayo Blvd Mcsb, 2Nd Floor, Endo Phoenix AZ 85054-4502
Phone: (480) 301-7092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP4222 Arizona

Profile Details

NPI number 1790799179
LBN Legal business name Walo, Patricia M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 11th, 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 1790799179 NPPES
Arizona MEDICAID 674510

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