Healthcare Provider Details

I. General information

NPI: 1912067489
Provider Name (Legal Business Name): MICHELLE D ADAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 235
PHOENIX AZ
85037-3363
US

IV. Provider business mailing address

9305 W. THOMAS RD SUITE 235
PHOENIX AZ
85037
US

V. Phone/Fax

Practice location:
  • Phone: 623-327-4100
  • Fax:
Mailing address:
  • Phone: 623-327-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN23513
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9330687
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAP4480
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: