Healthcare Provider Details

I. General information

NPI: 1619632973
Provider Name (Legal Business Name): DEBBIE PAGE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 W WARNER RD STE 1
CHANDLER AZ
85224-2109
US

IV. Provider business mailing address

2075 W WARNER RD STE 1
CHANDLER AZ
85224-2109
US

V. Phone/Fax

Practice location:
  • Phone: 480-788-9510
  • Fax: 866-493-3432
Mailing address:
  • Phone: 480-788-9510
  • Fax: 866-493-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number263304
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number263304
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: