Healthcare Provider Details

I. General information

NPI: 1265641799
Provider Name (Legal Business Name): FIRST ASSISTANTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E SOUTHERN AVE SUITE 102
TEMPE AZ
85282-7510
US

IV. Provider business mailing address

PO BOX 29338
PHOENIX AZ
85038-9338
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-9155
  • Fax: 480-839-3033
Mailing address:
  • Phone: 480-839-3033
  • Fax: 480-839-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: CAROL ANN TRAW
Title or Position: MANAGING PARTNER
Credential: RNFA
Phone: 480-839-3033