NPI Code Details Logo

NPI 1871041418

NPI 1871041418 : BARBARA EDITH CORTRIGHT PA-C : TOLLESON, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1871041418
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BARBARA EDITH CORTRIGHT PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/12/2016
-----------------------------------------------------
    Last Update Date     |    04/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9169 W VAN BUREN ST 
-----------------------------------------------------
    City                 |    TOLLESON
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85353-2942
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-569-3999
-----------------------------------------------------
    Fax                  |    602-569-3887
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1533 E WILLETTA ST 
-----------------------------------------------------
    City                 |    PHOENIX
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85006-2935
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    602-569-3999
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.