Healthcare Provider Details

I. General information

NPI: 1033115795
Provider Name (Legal Business Name): ANN MARIE NEGRI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 E COTTON CENTER BLVD BLDG D
PHOENIX AZ
85040-8852
US

IV. Provider business mailing address

29022 N 108TH PL
SCOTTSDALE AZ
85262-4524
US

V. Phone/Fax

Practice location:
  • Phone: 602-453-8091
  • Fax:
Mailing address:
  • Phone: 480-513-7311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD027706E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number32836
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: