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NPI Code Detail

MEDICARE: MRS. DANA ELIZABETH GRABHAM PA

MEDICARE: MRS. DANA ELIZABETH GRABHAM PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146D00000XPersonal Emergency Response AttendantPA1012KY
2363A00000XPhysician Assistant2746AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1860373636OTHERAZHUMANA GROUP #
2453051001OTHERAZGROUP HEALTH GRP #
33981220OTHERAZEVERCARE GROUP #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5AW1436OTHERAZHEALTHNET GRP #

General Provider Information

NPI Number : 1033100631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA ELIZABETH GRABHAM PA
Provider Business Mailing Address
First Line : 5434 E BARWICK DR
Second Line :
City : CAVE CREEK
State : AZ
Zip : 85331-2404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3929 E BELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2112
Country : US
Telephone Number : 602-923-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 11/03/2021

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