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NPI Code Detail

MEDICARE: MARIE MCCORMICK ANP

MEDICARE: MARIE MCCORMICK ANP
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
1363L00000XNurse Practitioner299013AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376517631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE MCCORMICK ANP
Provider Business Mailing Address
First Line : 3815 E BELL RD STE 4500
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2171
Country : US
Telephone Number : 602-633-3848
Fax Number : 602-633-3841
Provider Business Practice Location Address
First Line : 3815 E BELL RD STE 3200
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2162
Country : US
Telephone Number : 623-433-0202
Fax Number : 623-433-0204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 08/05/2024

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Directions to “ MARIE MCCORMICK ANP” Practice Location

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