MARISOL FATTORI (NPI# 1689075293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689075293 |
| Entity Type | Individual |
| Full Name | MARISOL FATTORI |
| Credential | LPN |
| Practice Address |
7300 N Dysart Rd Glendale AZ 85307-2218 |
| Practice Telephone | 6238767304 |
| Mailing Telephone | 6238767304 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | TLP050399 | AZ | Student, Health Care |
| Street Address |
7300 N DYSART RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487734661 | Lisa M. Barany | Speech-Language Pathologist | 7300 N Dysart Rd, Glendale, AZ 85307-2218 | 2006-10-16 |
| 1427534908 | Becky Warner Burns | Contractor | 7300 N Dysart Rd, Glendale, AZ 85307-2218 | 2018-07-17 |
| 1831613454 | Meredith H Hubbard | Speech-Language Pathologist | 7300 N Dysart Rd, Glendale, AZ 85307-2218 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1609489897 | Stevenson Henry | Student in an Organized Health Care Education/Training Program | 6565 W Bethany Home Rd Apt 261, Glendale, AZ 85301-4959 | 2020-08-26 |
| 1396357075 | Kaila Gladden | Student in an Organized Health Care Education/Training Program | 5222 W Pershing Ave, Glendale, AZ 85304-1352 | 2020-08-23 |
| 1033721550 | Jae Hyeok Yang | Student in an Organized Health Care Education/Training Program | 6958 W Robin Ln, Glendale, AZ 85310-5912 | 2020-08-17 |
| 1326650847 | Mary Ohanyan | Student in an Organized Health Care Education/Training Program | 209 E Palmer Ave Apt 203, Glendale, CA 91205-3173 | 2020-08-17 |
| 1215548045 | Reyna Conklin | Student in an Organized Health Care Education/Training Program | 3839 W Charlotte Dr, Glendale, AZ 85310-3331 | 2020-08-14 |
| 1356952030 | Makenna C Kroulik | Student in an Organized Health Care Education/Training Program | 5218 W Tierra Buena Ln, Glendale, AZ 85306-2515 | 2020-08-14 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1730703711 | Bryce Kruman | Student in an Organized Health Care Education/Training Program | 20000 N 57th Ave Rm P109, Glendale, AZ 85308-7209 | 2020-06-04 |
| 1881218584 | Chandler J Hurt | Student in an Organized Health Care Education/Training Program | 301 W Coventry Ct Apt 305, Glendale, WI 53217-3959 | 2020-05-29 |
| Find all providers in GLENDALE | ||||
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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.