Healthcare Provider Details

I. General information

NPI: 1871699348
Provider Name (Legal Business Name): CARMEN SHAVON HILL-MEKOBA DNP, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 N PIMA RD STE 305
SCOTTSDALE AZ
85260-2717
US

IV. Provider business mailing address

9706 N FOUR PEAKS WAY
FOUNTAIN HILLS AZ
85268-6561
US

V. Phone/Fax

Practice location:
  • Phone: 480-805-5453
  • Fax:
Mailing address:
  • Phone: 404-453-8558
  • Fax: 470-201-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number183075
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: