Healthcare Provider Details

I. General information

NPI: 1609328848
Provider Name (Legal Business Name): PATRICIA EMILY HAINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2016
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13430 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85254-4058
US

IV. Provider business mailing address

13430 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85254-4058
US

V. Phone/Fax

Practice location:
  • Phone: 888-407-7928
  • Fax:
Mailing address:
  • Phone: 888-407-7928
  • Fax: 623-334-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP9555
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: