Healthcare Provider Details

I. General information

NPI: 1295971026
Provider Name (Legal Business Name): NORTH SCOTTSDALE WOMEN'S HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9745 N 90TH PL
SCOTTSDALE AZ
85258-5066
US

IV. Provider business mailing address

9745 N 90TH PL
SCOTTSDALE AZ
85258-5066
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-1485
  • Fax: 480-661-1495
Mailing address:
  • Phone: 480-661-1485
  • Fax: 480-661-1495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. PATRICIA ANNE GRADE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-661-1485