Provider Demographics
NPI:1124475801
Name:MURA, MARIA FRANCESCA (RDN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FRANCESCA
Last Name:MURA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4644 N 22ND ST
Mailing Address - Street 2:1152
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4617
Mailing Address - Country:US
Mailing Address - Phone:623-205-5305
Mailing Address - Fax:
Practice Address - Street 1:4644 N 22ND ST # 1
Practice Address - Street 2:1152
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4617
Practice Address - Country:US
Practice Address - Phone:623-205-5305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered