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NPI Code Detail

MEDICARE: ANA HARGRAVES FNP

MEDICARE: ANA HARGRAVES FNP
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
1363LF0000XFamily Nurse Practitioner229990AZ

General Provider Information

NPI Number : 1720930274
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA HARGRAVES FNP
Provider Business Mailing Address
First Line : 113 W TUMBLEWEED CT
Second Line :
City : GILBERT
State : AZ
Zip : 85233-6921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17300 N PERIMETER DR STE 220
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-6703
Country : US
Telephone Number : 480-661-2662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ ANA HARGRAVES FNP” Practice Location

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