Dale Ann Manzoeillo in Phoenix - Pediatrics

Dale Ann Manzoeillo - NPI 1669672697

Dale Ann Manzoeillo is a Pediatrics in Phoenix, Arizona. Dale Ann Manzoeillo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dale Ann Manzoeillo is 1669672697. The last update date is 2016-11-07.

Dale Ann Manzoeillo's current location address is 2702 N 3rd St Ste 4020, Phoenix, Arizona. You can contact this provider via phone number 6023233492 and fax number 6023233399. The mailing address for Dale Ann Manzoeillo is 2702 N 3rd St Ste 4020, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Ann Manzoeillo
Address 2702 N 3rd St Ste 4020, Phoenix, Arizona
Phone Number 6023233492
Fax Number 6023233399
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1669672697
Provider Enumeration Date 2007-07-18
Last Updated Date 2016-11-07

Provider Mailing Address Detail

Address 2702 N 3rd St Ste 4020
City Phoenix
State Arizona (AZ)
Post Code 850044608
Phone Number 6023233492
Fax Number 6023233399

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No AP2462
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11774490 AZ CAQH
230765 AZ --

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FAQs about Dale Ann Manzoeillo

What is the unique identifier code issued to Dale Ann Manzoeillo by the Centers for Medicare & Medicaid Services?

The Dale Ann Manzoeillo has been assigned the NPI (National Provider Identifier) 1669672697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dale Ann Manzoeillo is located?

The Dale Ann Manzoeillo is situated at the following address: 2702 N 3Rd St Ste 4020, Phoenix, AZ, 850044608.

What is Dale Ann Manzoeillo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dale Ann Manzoeillo is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.

When did Dale Ann Manzoeillo receive its 1669672697 assignment?

The Dale Ann Manzoeillo was assigned its 1669672697 on 2007-07-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Dale Ann Manzoeillo last refreshed?

The information related to the Dale Ann Manzoeillo, including its address, specialty, and other relevant details, was last updated on 2016-11-07.

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