MISS KELLY ANNE MAURER (NPI# 1326066838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066838 |
| Entity Type | Individual |
| Full Name | MISS KELLY ANNE MAURER |
| Credential | NP |
| Practice Address |
2632 N 20th St Phoenix AZ 85006-1339 |
| Mailing Address |
Po Box 61773 Phoenix AZ 85082-1773 |
| Practice Telephone | 6022662200 |
| Practice Fax Number | 6022406177 |
| Mailing Telephone | 6022662200 |
| Mailing Fax Number | 6022406177 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN064636 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2433 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | SUN HEALTH GROUP # | WCSKQ | 01 |
| AZ | RAILROAD MEDICARE | P00344216 | 01 |
| AZ | RN LICENSE NUMBER | RN064636 | 01 |
| AZ | 173959 | 05 | |
| AZ | AZ NP LICENSE | 2433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1356730949 | Kelly Maurer | Case Manager/Care Coordinator | 219 S Chocolay Ave, Unit 2, Clawson, MI 48017-1808 | 2015-01-20 |
| 1568881787 | Kelly Maurer | Registered Nurse | 3020 Bailey Ave, 2nd Floor, Buffalo, NY 14215-2814 | 2014-04-15 |
| 1093935090 | Kelly Michelle Maurer | Physical Therapist | 1206 E National Ave, Brazil, IN 47834-2718 | 2007-05-01 |
| 1568590230 | Kelly L Maurer | Physical Therapist | 40 Hilanoa Dr, Metropolis, IL 62960-2533 | 2007-03-02 |
| Street Address |
2632 N 20TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938147 | Rajagopalan Ravi | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2005-08-02 |
| 1083043210 | Joei Johns | Physician Assistant | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2013-11-07 |
| 1659685782 | Vhs Arizona Heart Institute Inc | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2010-07-30 |
| 1093966194 | Hussein Dawod Jabr | Specialist/Technologist, Other | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-10-07 |
| 1457508723 | Ahi Cardiovascular Surgeons Ltd | Internal Medicine | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-08-19 |
| 1144482886 | Ahi Cardiovascular Surgeons Ltd | Radiology | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2008-06-25 |
| 1952423311 | Michael Ipo Chow | Surgery | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-04-05 |
| 1316067549 | Carole Jane Klein | Counselor | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-03-30 |
| 1972648087 | Arizona Heart Institute Ltd | Specialist | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-02-20 |
| 1194879296 | Arizona Heart Institute Ltd | Clinic/Center | 2632 N 20th St, Phoenix, AZ 85006-1339 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on MISS KELLY ANNE MAURER.
| 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.