Healthcare Provider Details

I. General information

NPI: 1639421068
Provider Name (Legal Business Name): ADRIANNE GILL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIANNE GILL-SANDERS ARNP

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 N HAYDEN RD STE D354
SCOTTSDALE AZ
85258-3243
US

IV. Provider business mailing address

889 S ALMIRA AVE
GILBERT AZ
85296-2880
US

V. Phone/Fax

Practice location:
  • Phone: 480-268-2670
  • Fax:
Mailing address:
  • Phone: 801-910-8327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberARNP9468541
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9468541
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5644906-4405
License Number StateUT
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP11105
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP11105
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: