Healthcare Provider Details

I. General information

NPI: 1801631361
Provider Name (Legal Business Name): ALESSANDRA MORUZZI AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 E BANNER GATEWAY DR
GILBERT AZ
85234-2165
US

IV. Provider business mailing address

6601 E MCDOWELL RD APT 3039
SCOTTSDALE AZ
85257-3176
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-6444
  • Fax:
Mailing address:
  • Phone: 773-203-0932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number254525
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: