Healthcare Provider Details

I. General information

NPI: 1841681798
Provider Name (Legal Business Name): MICHELLE MCGEE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELLY NORD

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 S DOBSON RD STE 201
CHANDLER AZ
85224-5604
US

IV. Provider business mailing address

PO BOX 33269
PHOENIX AZ
85067-3269
US

V. Phone/Fax

Practice location:
  • Phone: 480-728-4700
  • Fax: 480-728-4747
Mailing address:
  • Phone: 602-406-4786
  • Fax: 916-636-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP7718
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP7718
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: