Provider Demographics
NPI:1871823146
Name:DEEYOR, ALIO MBIALE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALIO
Middle Name:MBIALE
Last Name:DEEYOR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:ALIO
Other - Middle Name:MBIALE
Other - Last Name:DEEYOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:650 E. INDIAN SCHOOL ROAD
Mailing Address - Street 2:PHOENIX VA HEALTH CARE SYSEM.
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1892
Mailing Address - Country:US
Mailing Address - Phone:602-277-5551
Mailing Address - Fax:
Practice Address - Street 1:650 E. INDIAN SCHOOL RD
Practice Address - Street 2:PHOENIX VA HEALTH CARE SYSTEM.
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1892
Practice Address - Country:US
Practice Address - Phone:602-277-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN098163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily