Healthcare Provider Details

I. General information

NPI: 1447179882
Provider Name (Legal Business Name): LAURA YVONNE AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 N ALMA SCHOOL RD STE E
CHANDLER AZ
85224-4363
US

IV. Provider business mailing address

14421 W JENAN DR
SURPRISE AZ
85379-4408
US

V. Phone/Fax

Practice location:
  • Phone: 623-224-7302
  • Fax:
Mailing address:
  • Phone: 623-224-7302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License NumberD02874954
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: