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NPI Code Detail

MEDICARE: ANNA M MOTOLA ARNP

MEDICARE: ANNA M MOTOLA ARNP
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
1363LG0600XGerontology Nurse PractitionerAP10783AZ
2363LG0600XGerontology Nurse PractitionerAPRN11041476FL

General Provider Information

NPI Number : 1184130684
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA M MOTOLA ARNP
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-682-3817
Provider Business Practice Location Address
First Line : 13395 N MARANA MAIN ST
Second Line :
City : MARANA
State : AZ
Zip : 85653-7008
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-682-3817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2017
Last Update Date : 02/06/2026

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