T R MINAFEE FAMILY NURSE PRACTITIONER LLC (NPI# 1023562402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023562402 |
| Entity Type | Organization |
| Organization Name | T R MINAFEE FAMILY NURSE PRACTITIONER LLC |
| Practice Address |
4516 W Magdalena Ln Laveen AZ 85339-2350 |
| Practice Telephone | 4148037824 |
| Mailing Telephone | 4148037824 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | TANYA MINAFEE (FNP) |
| Authorized Official Telephone | 4148037824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4516 W MAGDALENA LN |
| City | LAVEEN |
| State | AZ |
| Zip Code | 85339-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932507951 | Dignity Healthcare | Preferred Provider Organization | 4516 W Magdalena Ln, Laveen, AZ 85339-2350 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1164074282 | Alvis Lee Robertson | Counselor | 3850 N. 16th St. E. Beltline Rd., Laveen, AZ 85339 | 2019-07-09 |
| 1912493933 | Kristine Robles | Specialist/Technologist | 6501 W Alta Vista Rd, Laveen, AZ 85339 | 2018-07-02 |
| 1366968521 | Care Line, LLC | Home Health | 5818 West Pedro Lane, Laveen, AZ 85339 | 2017-08-19 |
| 1881119550 | Calvary Home Care Services Inc | Day Training, Developmentally Disabled Services | 4360 W. Alta Vista Rd, Laveen, AZ 85339 | 2017-08-03 |
| 1295284354 | Brian Hiapo Jr. | Assistant, Podiatric | 6170 S 51st Ave Ste 103, Laveen, AZ 85339 | 2016-09-29 |
| 1962850073 | Laveen Pediatric Dental Partners, LLP | Dentist | 5235 W. Baseline Rd, Ste 187, Laveen, AZ 85339 | 2016-05-31 |
| 1619353992 | Tiffany Lee | Specialist/Technologist | 7034 S. 64ave, Laveen, AZ 85339 | 2015-08-10 |
| 1558759068 | Makoto Wakamori | Counselor | 3850 North 16th Street Laveen Az 85339, Laveen, AZ 85339 | 2015-01-06 |
| 1568850329 | Gila River Health Care Corporation | Community Based Residential Treatment Facility, Mental Illness | 142226 S 53rd Ave, Laveen, AZ 85339 | 2015-01-02 |
| Find all providers in zip 85339 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750258 | Stacy Rebecca Rummer | Nurse Practitioner | 4815 W Mcneil St, Laveen, AZ 85339-9781 | 2020-04-30 |
| 1780228981 | Sarrah Friend | Nurse Practitioner | 8012 S 42nd Ave, Laveen, AZ 85339-2552 | 2019-10-30 |
| 1790262582 | Celina Roy | Nurse Practitioner | 5026 W St Kateri Dr, Laveen, AZ 85339-8207 | 2018-07-24 |
| 1396253761 | Augustin Harelimana | Nurse Practitioner | 5205 W Pedro Ln, Laveen, AZ 85339-7193 | 2018-01-18 |
| 1366860843 | Kaniz Fatema Islam | Nurse Practitioner | 5209 W Siesta Way, Laveen, AZ 85339-7179 | 2014-04-02 |
| 1851641732 | Rebecca U Thomas | Nurse Practitioner | 9809 S Reidar Rd, Laveen, AZ 85339-7733 | 2012-09-18 |
| 1982176301 | Jonell Marie Conn | Nurse Practitioner | 5050 W Baseline Rd, Laveen, AZ 85339-7324 | 2018-12-24 |
| 1033690912 | Stephanie Ann Wolz | Nurse Practitioner | 5050 W Baseline Rd, Laveen, AZ 85339 | 2018-08-28 |
| 1235658741 | Della Rae Regenwether | Nurse Practitioner | 5050 W Baseline Rd, Laveen, AZ 85339-7324 | 2017-09-15 |
| 1598122079 | Andria Young | Nurse Practitioner | 5050 W Baseline Rd, Laveen, AZ 85339-7324 | 2016-01-28 |
| Find all providers in LAVEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.