| Healthfair Plus Pc | |
|
9201 E Mountain View Rd Ste 220 Scottsdale AZ 85258-5172 | |
| (480) 862-1677 | |
| Not Available |
| Full Name | Healthfair Plus Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 9201 E Mountain View Rd Ste 220, Scottsdale, Arizona |
| Authorized Official Name and Position | Stephanie Peterson (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4808621677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthfair Plus Pc 9201 E Mountain View Rd Ste 220 Scottsdale AZ 85258-5172 Ph: (480) 862-1677 | Healthfair Plus Pc 9201 E Mountain View Rd Ste 220 Scottsdale AZ 85258-5172 Ph: (480) 862-1677 |
| NPI Number | 1376973461 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 10/27/2021 |
| Medicare PECOS PAC ID | 2365668720 |
|---|---|
| Medicare Enrollment ID | O20150112000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376973461 | NPI | - | NPPES |
| Provider Name | Janis Panzenhagen Puglisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114017498 PECOS PAC ID: 9931163037 Enrollment ID: I20041118000215 |
| Provider Name | Kristene C Diggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033299581 PECOS PAC ID: 9032111257 Enrollment ID: I20070131000755 |
| Provider Name | Deborah Aiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912162892 PECOS PAC ID: 4486728359 Enrollment ID: I20080811000663 |
| Provider Name | Monica Lyall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467693846 PECOS PAC ID: 9739232695 Enrollment ID: I20090725000091 |
| Provider Name | Marianne Mclissa Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297225 PECOS PAC ID: 6608911649 Enrollment ID: I20100302000903 |
| Provider Name | Phyllis P Coconis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073815957 PECOS PAC ID: 3274722608 Enrollment ID: I20110114000844 |
| Provider Name | Meredith Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255588778 PECOS PAC ID: 7416124896 Enrollment ID: I20120126000014 |
| Provider Name | Ashley M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679820419 PECOS PAC ID: 0749431872 Enrollment ID: I20121119000148 |
| Provider Name | Elizabeth Asare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922385749 PECOS PAC ID: 3971758889 Enrollment ID: I20130226000504 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20140618001563 |
| Provider Name | Anne Marie Mukamana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720405392 PECOS PAC ID: 6002034055 Enrollment ID: I20140904001110 |
| Provider Name | Colleen M Shaughnessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942605944 PECOS PAC ID: 8921322413 Enrollment ID: I20150109000553 |
| Provider Name | Danyel Sutton Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093187403 PECOS PAC ID: 7214230242 Enrollment ID: I20160125001685 |
| Provider Name | Elizabeth Joan Hotaling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326232893 PECOS PAC ID: 7911091772 Enrollment ID: I20160302001201 |
| Provider Name | Lavare Canace Seltun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108490 PECOS PAC ID: 7113298456 Enrollment ID: I20170804002991 |
| Provider Name | Tameika L Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326597329 PECOS PAC ID: 8527349307 Enrollment ID: I20171116001124 |
| Provider Name | Jennifer E Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649784828 PECOS PAC ID: 4486915840 Enrollment ID: I20180227001156 |
| Provider Name | Lindsay Michelle Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548762727 PECOS PAC ID: 9032466545 Enrollment ID: I20180716000384 |
| Provider Name | Marianne C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528367406 PECOS PAC ID: 7416131743 Enrollment ID: I20190806000941 |
| Provider Name | Hadja Thiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114586948 PECOS PAC ID: 7911238845 Enrollment ID: I20191008001570 |
| Provider Name | Tiffany T Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770018095 PECOS PAC ID: 0941611008 Enrollment ID: I20201120000223 |
| Provider Name | Kimberly D Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366984734 PECOS PAC ID: 8022383637 Enrollment ID: I20210326002235 |
| Provider Name | Ashley Nicole Susko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417581588 PECOS PAC ID: 6103204003 Enrollment ID: I20220606001512 |
| Provider Name | Valeea James Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013412972 PECOS PAC ID: 0042575573 Enrollment ID: I20220815000380 |
| Provider Name | Martha Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558503698 PECOS PAC ID: 3678627684 Enrollment ID: I20230118000073 |
| Provider Name | Tanisha Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740759950 PECOS PAC ID: 3971974551 Enrollment ID: I20230118000809 |
| Provider Name | Kathleen Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437179702 PECOS PAC ID: 1759323371 Enrollment ID: I20230119000635 |
| Provider Name | Melanie Bourgeois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497220214 PECOS PAC ID: 6103203617 Enrollment ID: I20230119002181 |
| Provider Name | Tara Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215381108 PECOS PAC ID: 8628359551 Enrollment ID: I20230126001546 |
| Provider Name | Rhonda Bridget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407020589 PECOS PAC ID: 7911062872 Enrollment ID: I20230126001586 |
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