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NPI Code Detail

MEDICARE: GOLDA DENNIS RN

MEDICARE: GOLDA DENNIS RN
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
1163WC0200XCritical Care Medicine Registered Nurse234608AZ

General Provider Information

NPI Number : 1376402552
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOLDA DENNIS RN
Provider Business Mailing Address
First Line : 2101 E PALM BEACH DR
Second Line :
City : CHANDLER
State : AZ
Zip : 85249-4660
Country : US
Telephone Number : 602-839-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 602-839-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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