Healthcare Provider Details

I. General information

NPI: 1326006313
Provider Name (Legal Business Name): ANN M NEGRI MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 07/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23233 N PIMA RD 113-351
SCOTTSDALE AZ
85255-8388
US

IV. Provider business mailing address

10240 N 31ST AVE SUIT 200
PHOENIX AZ
85051-9558
US

V. Phone/Fax

Practice location:
  • Phone: 480-513-7311
  • Fax:
Mailing address:
  • Phone: 602-997-9006
  • Fax: 602-997-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013829
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW013465
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012175
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD027706E
License Number StatePA

VIII. Authorized Official

Name: DR. ANN MARIE NEGRI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 602-695-8819