| Arianna Montejano, NP | |
| 
					1919 E Thomas Rd, Phoenix, AZ 85016-7710  | |
| (602) 933-1060 | |
| (602) 933-8982 | 
| Full Name | Arianna Montejano | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 1919 E Thomas Rd, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366879751 | NPI | - | NPPES | 
| 235682 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP9848 (Arizona) | Primary | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981  | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Arianna Montejano, NP 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124  | Arianna Montejano, NP 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-1060  | 
Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581  | |
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186  | |
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132  | |
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595  | |
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475  | |
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331  | |
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108  |