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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790799179 | NPPES |
Arizona | MEDICAID | 674510 |
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