Healthcare Provider Details

I. General information

NPI: 1982655601
Provider Name (Legal Business Name): ANN SIMON REIFF FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN SIMON BORRELL FNP

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1343 N ALMA SCHOOL RD STE 160
CHANDLER AZ
85224-5941
US

IV. Provider business mailing address

1343 N ALMA SCHOOL RD
CHANDLER AZ
85224-5941
US

V. Phone/Fax

Practice location:
  • Phone: 480-963-1853
  • Fax: 480-963-1854
Mailing address:
  • Phone: 480-963-1853
  • Fax: 480-963-1854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number103430
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN103430
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: