MISS DORA E MUTTART (NPI# 1336356476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336356476 |
| Entity Type | Individual |
| Full Name | MISS DORA E MUTTART |
| Other Name | MISS DORIE MUTTART |
| Credential | RN |
| Practice Address |
223 Seneca Lane San Carlos AZ 85550 |
| Mailing Address |
5443 E Pinal Canyon Rd Globe AZ 85501-4304 |
| Practice Telephone | 9284757123 |
| Mailing Telephone | 9285951159 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN052548 | AZ | Nursing Service Providers |
| X | 175F00000X | Naturopath | 01-652 | Other Service Providers |
| Street Address |
223 SENECA LANE |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194846428 | Kelly J Archambeau | Registered Nurse | 223 Seneca Lane, San Carlos, AZ 85550 | 2007-04-03 |
| 1891966727 | Melinda Rose Cain | Social Worker | 223 Seneca Lane, San Carlos, AZ 85550 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194846428 | Kelly J Archambeau | Registered Nurse | 223 Seneca Lane, San Carlos, AZ 85550 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614134 | Rochelle Williams | Registered Nurse | 11454 E Quintana Ave, Mesa, AZ 85212-4103 | 2020-03-17 |
| 1184257537 | Frances Morris | Registered Nurse | 308 Hermosa Dr, Holbrook, AZ 86025-2031 | 2020-02-13 |
| 1902456833 | Marleah Olsen | Registered Nurse | 102 Medicine Way Rd., Peridot, AZ 85542-8554 | 2019-09-12 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588124093 | Jennifer Hanes | Registered Nurse | 828 N Slater, Mesa, AZ 85205-5862 | 2019-03-21 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1275987794 | Jane Collins | Registered Nurse | 8500 E.jackrabbit Rd, Scottsdale, AZ 85250 | 2016-04-21 |
| 1831500073 | Suzanne Gould | Registered Nurse | 4891 E Grant Rd, Tucson, AZ 85712-2704 | 2014-05-09 |
| 1356768493 | Melody Dawn Austin | Registered Nurse | 8510 W Deer Valley Rd Ste 100, Peoria, AZ 85382-5386 | 2014-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
Please comment or provide details below to improve the information on MISS DORA E MUTTART.
| 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.