Healthcare Provider Details

I. General information

NPI: 1861648867
Provider Name (Legal Business Name): ARCADIA WELL WOMAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 09/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7514 E MONTEREY WAY SUITE 3
SCOTTSDALE AZ
85251-6900
US

IV. Provider business mailing address

7514 E MONTEREY WAY SUITE 3
SCOTTSDALE AZ
85251-6900
US

V. Phone/Fax

Practice location:
  • Phone: 480-421-9938
  • Fax: 480-429-2354
Mailing address:
  • Phone: 480-421-9938
  • Fax: 480-429-2354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP2646
License Number StateAZ

VIII. Authorized Official

Name: MRS. DALE ANN DORSEY
Title or Position: PRESIDENT
Credential: RNP-C
Phone: 480-421-9938