MEDICARE: DR. ANN MARIE NEGRI M.D.

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
1	2084P0800X	Psychiatry Physician	MD027706E	PA
2	2084P0800X	Psychiatry Physician	32836	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	631100	OTHER	PA	BLUE CROSS

General Provider Information

NPI Number	:	1033115795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARIE NEGRI M.D.

Provider Business Mailing Address
First Line	:	29022 N 108TH PL
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85262-4524
Country	:	US
Telephone Number	:	480-513-7311
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 E COTTON CENTER BLVD BLDG D
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-8852
Country	:	US
Telephone Number	:	602-453-8091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	06/08/2015

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