| Canyon Family Medicine Pllc | |
|
6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 | |
| (602) 805-4914 | |
| (602) 805-4917 |
| Full Name | Canyon Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6242 E Arbor Ave Ste 118, Mesa, Arizona |
| Authorized Official Name and Position | Laura Ayn Hafez (FOUNDER) |
| Authorized Official Contact | 6028054914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Family Medicine Pllc 6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 Ph: (602) 805-4914 | Canyon Family Medicine Pllc 6242 E Arbor Ave Ste 118 Mesa AZ 85206-1309 Ph: (602) 805-4914 |
| NPI Number | 1780349902 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 03/10/2025 |
| Medicare PECOS PAC ID | 0547650350 |
|---|---|
| Medicare Enrollment ID | O20211210001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780349902 | NPI | - | NPPES |
| 104341 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura A Hafez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476019 PECOS PAC ID: 3577985373 Enrollment ID: I20200624002344 |
| Provider Name | Wendy Nelson Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689387573 PECOS PAC ID: 6406179241 Enrollment ID: I20230412001551 |
| Provider Name | Courtney Rae Dechesaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770288276 PECOS PAC ID: 3971960717 Enrollment ID: I20230608003365 |
| Provider Name | Boriana Nikolova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598432585 PECOS PAC ID: 3678961281 Enrollment ID: I20231026004149 |
| Provider Name | Jennifer Kelly Weltsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235990904 PECOS PAC ID: 4789026295 Enrollment ID: I20240530000155 |
| Provider Name | Michelle Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679240253 PECOS PAC ID: 6800334632 Enrollment ID: I20240812002981 |
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