Healthcare Provider Details

I. General information

NPI: 1104071968
Provider Name (Legal Business Name): PLANNED PARENTHOOD ARIZONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5771 W EUGIE AVE
GLENDALE AZ
85304-1241
US

IV. Provider business mailing address

4751 N 15TH ST
PHOENIX AZ
85014-3707
US

V. Phone/Fax

Practice location:
  • Phone: 602-277-7526
  • Fax: 602-604-6582
Mailing address:
  • Phone: 602-277-7526
  • Fax: 602-604-6582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License NumberOTC 0118
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. APRIL J. DONOVAN
Title or Position: COO AND INTERIM CEO
Credential:
Phone: 602-277-7526