MISS KELLY ANNE MAURER NP NPI 1326066838

NPI Information

NPI: 1326066838
Provider Name: MISS KELLY ANNE MAURER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2632 N 20TH ST
PHOENIX, AZ
ZIP 85006
Phone: (602) 266-2200
Get Directions

MISS Kelly Anne Maurer, NP is a family nurse practitioner in Phoenix, AZ. MISS Kelly Anne Maurer, NP NPI is 1326066838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2632 N 20TH ST
PHOENIX, AZ
ZIP 85006-339
Phone: (602) 266-2200
Fax: (602) 240-6177

The NPI 1326066838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN064636	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	2433	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z111391	MEDICARE PIN	ARIZONA
2	2433	OTHER	ARIZONA	AZ NP LICENSE
3	173959	MEDICAID	ARIZONA
4	WCSKQ	OTHER	ARIZONA	SUN HEALTH GROUP #
5	P00344216	OTHER	ARIZONA	RAILROAD MEDICARE
6	G78892	MEDICARE UPIN
7	RN064636	OTHER	ARIZONA	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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