SUSAN WILLEVER


Address: 11331 E Starfire Cir, Mesa, AZ 85212-7062
Phone: 4806860170

SUSAN WILLEVER (NPI# 1134527534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134527534
Entity Type Individual
Full Name SUSAN WILLEVER
Credential N.P.
Practice Address 11331 E Starfire Cir
Mesa
AZ 85212-7062
Practice Telephone 4806860170
Mailing Telephone 4806860170
Enumeration Date 2014-12-17
Last Update Date 2014-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP7450 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11331 E STARFIRE CIR
City MESA
State AZ
Zip Code 85212-7062

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1891341947 James M Theiss Nurse Practitioner 5439 E Ellis St, Mesa, AZ 85205-5470 2019-08-14
1326443003 Jennifer Anderson Nurse Practitioner 6262 E Brown Rd Unit 43, Mesa, AZ 85205-4846 2014-10-24
1356616205 Sukanlaya Hughes Nurse Practitioner 2444 E. Southern Ave. Ste. 103, Mesa, AZ 85204 2012-03-11
1942403076 Shosamana Nurse Practitioner 3740 E Southern Ave Ste 207, Mesa, AZ 85206-2512 2007-06-06
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Competitor

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City MESA
Zip Code 85212

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Dataset Information

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.

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