KATRINA MAE CORDOVA (NPI# 1508349929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508349929 |
Entity Type | Individual |
Full Name | KATRINA MAE CORDOVA |
Credential | WHNP-BC |
Practice Address |
3400 N Dysart Rd # 121 Avondale AZ 85392-1003 |
Mailing Address |
23207 W Yavapai St Buckeye AZ 85326-6181 |
Practice Telephone | 6028108851 |
Practice Fax Number | 6239746721 |
Mailing Telephone | 6232976982 |
Enumeration Date | 2018-09-11 |
Last Update Date | 2018-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP11767 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3400 N DYSART RD # 121 |
City | AVONDALE |
State | AZ |
Zip Code | 85392-1003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326565540 | Megan Nicole Spiekermeier | Nurse Practitioner | 3400 N Dysart Rd # 121, Avondale, AZ 85392-1003 | 2017-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
Find all providers in zip 85392 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326565540 | Megan Nicole Spiekermeier | Nurse Practitioner | 3400 N Dysart Rd # 121, Avondale, AZ 85392-1003 | 2017-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
1235750381 | Gilbert Family Birth Center, LLC | Nurse Practitioner | 246 S Gilbert Rd, Gilbert, AZ 85296-1600 | 2020-04-29 |
1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
1861023921 | Courtney Ann Mackinnon | Nurse Practitioner | 5300 S Sutter Dr Ste 11, Show Low, AZ 85901-8055 | 2020-01-28 |
1851948699 | Nicole Marie Keeling | Nurse Practitioner | 3818 S. Val Vista Drive, Suite 101, Gilbert, AZ 85297-7309 | 2019-08-26 |
1144786591 | Modern Milk Gilbert | Nurse Practitioner | 3244 E Guadalupe Rd Ste 106, Gilbert, AZ 85234-9605 | 2019-02-11 |
1164988515 | Modern Milk | Nurse Practitioner | 13802 N Scottsdale Rd Ste 162, Scottsdale, AZ 85254-3437 | 2019-02-11 |
1538638028 | Mamie Elizabeth Ramchandani | Nurse Practitioner | 5750 E Highway 90 Ste 300, Sierra Vista, AZ 85635-9111 | 2018-11-14 |
1023560885 | Danielle Marie Villatoro | Nurse Practitioner | 9731 S Camino De La Calinda, Vail, AZ 85641 | 2016-10-27 |
1902356074 | Kyle Mcdevitt | Nurse Practitioner | 44765 W. Hathaway Ave., Maricopa, AZ 85138 | 2016-10-12 |
Find all providers with the same taxonomy |
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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.