Healthcare Provider Details

I. General information

NPI: 1073292181
Provider Name (Legal Business Name): EKATERINI PLIAKOS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7425 E SHEA BLVD STE 112
SCOTTSDALE AZ
85260-6411
US

IV. Provider business mailing address

7425 E SHEA BLVD STE 112
SCOTTSDALE AZ
85260-6411
US

V. Phone/Fax

Practice location:
  • Phone: 480-214-3313
  • Fax: 480-214-3389
Mailing address:
  • Phone: 309-721-6581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number294370
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: