Healthcare Provider Details

I. General information

NPI: 1285225839
Provider Name (Legal Business Name): MOXI MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 E PINNACLE PEAK RD STE D6
SCOTTSDALE AZ
85255-3647
US

IV. Provider business mailing address

8900 E PINNACLE PEAK RD STE D6
SCOTTSDALE AZ
85255-3647
US

V. Phone/Fax

Practice location:
  • Phone: 480-563-0634
  • Fax: 833-626-0483
Mailing address:
  • Phone: 480-563-0634
  • Fax: 833-626-0483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARIE MUFF
Title or Position: OWNER/ARNP
Credential: ARNP
Phone: 480-563-0634