MEDICARE: ANN MARIE ELMS

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	164X00000X	Licensed Vocational Nurse	LPN049643	AZ

General Provider Information

NPI Number	:	1972137552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE ELMS

Provider Business Mailing Address
First Line	:	3150 STARLINE DR
Second Line	:
City	:	LK HAVASU CTY
State	:	AZ
Zip	:	86406-5400
Country	:	US
Telephone Number	:	928-230-4830
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 STARLINE DR
Second Line	:
City	:	LK HAVASU CTY
State	:	AZ
Zip	:	86406-5400
Country	:	US
Telephone Number	:	928-505-1490
Fax Number	:

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

Provider Enumeration Date	:	02/23/2020
Last Update Date	:	02/23/2020

Similar Medicare Providers

1295483980 — BACK TO IT THERAPY LLC
Practice Location Address:

3285 SILVER SADDLE DR , (I WILL BE A MOBILE PRACTICE WITHOUT PRIMARY LOCATION)
LK HAVASU CTY, AZ
86406-6263

Practice Phone: 469-230-9158
Practice Fax:

1285245571 — MEGAN TURNER LPN
Practice Location Address:

3150 STARLINE DR
LAKE HAVASU CITY, AZ
86406-5400

Practice Phone: 928-505-1490
Practice Fax: 928-505-1499

1750061719 — NICOLE SUGAMELE
Practice Location Address:

3150 STARLINE DR
LAKE HAVASU CITY, AZ
86406-5400

Practice Phone: 928-505-1490
Practice Fax:

1942276555 — WALTER K SOSEY MD
Practice Location Address:

1830 MESQUITE AVE #A
LK HAVASU CTY, AZ
86403-5885

Practice Phone: 928-855-8071
Practice Fax: 928-855-6869

1629356761 — TX770911-002, LLC
Practice Location Address:

1117 CLEAR LK CTY BLVD
HOUSTON, TX
77062-8102

Practice Phone: 281-401-9789
Practice Fax: 281-401-9779

1770950305 — ANGELICA JACKSON PA-C
Practice Location Address:

1616 CLEAR LK CTY BLVD STE 102
HOUSTON, TX
77062-8069

Practice Phone: 713-493-1346
Practice Fax:

Directions to “ ANN MARIE ELMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.