MEDICARE: MAHRIANA SINER N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	253208	AZ
2	363LA2100X	Acute Care Nurse Practitioner	253208	AZ

General Provider Information

NPI Number	:	1467995845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHRIANA SINER N.P.

Provider Business Mailing Address
First Line	:	14674 W MOUNTAIN VIEW BLVD STE 100
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2707
Country	:	US
Telephone Number	:	623-600-2406
Fax Number	:	866-493-3889

Provider Business Practice Location Address
First Line	:	14674 W MOUNTAIN VIEW BLVD STE 100
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2707
Country	:	US
Telephone Number	:	623-600-2406
Fax Number	:	623-900-7878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	06/09/2024

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