Most Relevant Information
Provider Data
| NPI Number: | 1003431974 |
| Provider Name: | ALDIJANA BJELOBRKOVIC NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 242545 |
Most Important Dates
| Enumeration Date: | 06/16/2020 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
4350 N 19TH AVE STE 3
PHOENIX
AZ
850154602
Practice Location Phone/Fax
| Phone: | 6022794975 |
| Fax: | 6022791108 |
Provider Mailing Location
4350 N 19TH AVE STE 3
PHOENIX
AZ
850154602
Provider Mailing Phone/Fax
| Phone: | 6022794975 |
| Fax: | 6022791108 |