| Mina Hignutt, | |
| 
					655 S Dobson Rd Ste 101, Chandler, AZ 85224  | |
| (480) 459-2555 | |
| (480) 378-3131 | 
| Full Name | Mina Hignutt | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 655 S Dobson Rd Ste 101, Chandler, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508182817 | NPI | - | NPPES | 
| HUF104352561 | Other | AZ | NCC | 
| 552444 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN138511 (Arizona) | Primary | 
| Entity Name | Lilac Healthcare Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730724477 PECOS PAC ID: 7911333596 Enrollment ID: O20200129002347  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mina Hignutt, 655 S Dobson Rd Ste 101, Chandler, AZ 85224 Ph: (480) 459-2555  | Mina Hignutt, 655 S Dobson Rd Ste 101, Chandler, AZ 85224 Ph: (480) 459-2555  | 
Miss Emma Loree Provost, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1950 W Frye Rd, Chandler, AZ 85224 Phone: 480-895-9555  | |
Mrs. Danielle Marie Salazar, CNM, WHNP-BC Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1950 W Frye Rd Bldg B, Chandler, AZ 85224 Phone: 480-895-9555  | |
Kori Mitteer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 655 S Dobson Rd, Suite 101a, Chandler, AZ 85224 Phone: 480-855-5900  | |
Janelle Skarphol, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2545 W Frye Rd Ste 5, Chandler, AZ 85224 Phone: 480-821-3600 Fax: 480-821-3610  | |
Karla L Hill, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2055 W Frye Rd Ste 9, Chandler, AZ 85224 Phone: 480-821-3600 Fax: 480-821-3610  | |
Donna Lynn Rivera, APN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1125 S Alma School Rd Ste 210, Chandler, AZ 85286 Phone: 480-684-5077 Fax: 480-526-8387  |