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NPI Code Detail

MEDICARE: MRS. CLAUDIA IVONNE SYMMONDS FNP

MEDICARE: MRS. CLAUDIA IVONNE SYMMONDS FNP
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
1363LF0000XFamily Nurse PractitionerAP8902AZ

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 : 1417407115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CLAUDIA IVONNE SYMMONDS FNP
Provider Business Mailing Address
First Line : PO BOX 10097
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85130-0020
Country : US
Telephone Number : 520-836-3446
Fax Number :
Provider Business Practice Location Address
First Line : 205 N STUART BLVD
Second Line :
City : ELOY
State : AZ
Zip : 85131-2507
Country : US
Telephone Number : 520-466-7883
Fax Number : 520-466-3946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2016
Last Update Date : 04/19/2024

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