HEATHER A TRUJILLO-OLKKONEN P.A. NPI 1700864071

NPI Information

NPI: 1700864071
Provider Name: HEATHER A TRUJILLO-OLKKONEN, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3130 E BASELINE RD STE 107
MESA, AZ
ZIP 85204
Phone: (480) 345-1980
Get Directions

Heather A Trujillo-olkkonen, P.A. is a medical physician assistant in Mesa, AZ with 25 years of experience. Heather A Trujillo-olkkonen, P.A. NPI is 1700864071. 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:

3130 E BASELINE RD STE 107
MESA, AZ
ZIP 85204-290
Phone: (480) 345-1980
Fax: (480) 926-1721

The NPI 1700864071 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 1/5/2006 and was last updated on 7/17/2023.

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	332B00000X	Durable Medical Equipment & Medical Supplies		7057360001	ARIZONA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		7047150001	ARIZONA	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		7209350001	ARIZONA	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		70349500001	ARIZONA	No
5	332B00000X	Durable Medical Equipment & Medical Supplies		7046960001	ARIZONA	No
6	332B00000X	Durable Medical Equipment & Medical Supplies		7939960001	ARIZONA	No
7	332B00000X	Durable Medical Equipment & Medical Supplies		704516001	ARIZONA	No
8	332B00000X	Durable Medical Equipment & Medical Supplies		8220410001	ARIZONA	No
9	332B00000X	Durable Medical Equipment & Medical Supplies		7629170001	ARIZONA	No
10	363AM0700X	Physician Assistant	Medical	5925	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	974750	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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