| Mr Douglas Kendall Conley, FNP | |
|
17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263 | |
| (928) 632-4909 | |
| Not Available |
| Full Name | Mr Douglas Kendall Conley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 17301 E Spring Valley Rd Ste F, Spring Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396289450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP9724 (Arizona) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Kendall Conley, FNP 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263 Ph: (928) 632-4909 | Mr Douglas Kendall Conley, FNP 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263 Ph: (928) 632-4909 |
Kimberly Ann Whitehill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973 | |
Mrs. Emily Catherine Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973 |