PENNY L REAMER


Address: 17624 N. 31st Ave., Phoenix, AZ 85053
Phone: (602) 467-5910

PENNY L REAMER (NPI# 1366966434) 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) 1366966434
Entity Type Individual
Full Name PENNY L REAMER
Credential RN
Practice Address 17624 N. 31st Ave.
Phoenix
AZ 85053
Mailing Address 17624 N 31st Ave
Phoenix
AZ 85053-1935
Practice Telephone (602) 467-5910
Practice Fax Number 6024675980
Mailing Telephone 6024675910
Mailing Fax Number 6024675980
Enumeration Date 2017-08-01
Last Update Date 2017-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
RN169859 AZ Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ DVUSD 86-6004178 01

Office Location

Street Address 17624 N. 31ST AVE.
City PHOENIX
State AZ
Zip Code 85053

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1043749302 Jacob Stephen Lawrence Occupational Therapy Assistant 3116 W. Hartford Dr., Phoenix, AZ 85053 2017-06-08
1770022923 Horizon Dental Group West Valley Dentist 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 2017-02-21
1235594938 Linda Thi Trinh Optometrist 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 2015-12-22
1003230301 Continuum Group West, LLC. Clinic/Center 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 2014-02-07
1831539410 Michelle Lea Byers Nurse Practitioner 17624 North 31st Ave, Phoenix, AZ 85053 2013-06-27
1437446580 Candace Faith Gershkovich Dentist 4235 W. Thunderbird Rd, Phoenix, AZ 85053 2011-07-08
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235602699 Sharon Gasch Registered Nurse 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 2019-01-09
1477024461 Rosie Higuera Registered Nurse 7731 W Flower St, Phoenix, AZ 85033-4944 2018-12-17
1588163687 Alma Cecilia Elizarraraz Registered Nurse 1234 E Northern Ave, Phoenix, AZ 85020-4274 2018-02-05
1396263307 Cheryl Anne Miller Registered Nurse 15002 N. 32nd St., Phoenix, AZ 85032 2017-08-30
1790150084 Jennifer Fuller Registered Nurse 9618 N 36th St, Phoenix, AZ 85028-4938 2015-12-11
1417329897 Kelly Criswell Registered Nurse 32150 N North Foothills Dr, Phoenix, AZ 85085 2015-10-26
1598161416 Elise Corriveau Registered Nurse 1611 W Fillmore St, Phoenix, AZ 85007-2214 2014-11-05
1356740088 Soledad Villalobos Registered Nurse 14238 N 34th Way, Phoenix, AZ 85032-5340 2014-08-19
1982003034 Staci Motley Registered Nurse 7150 N 22nd St, Phoenix, AZ 85020-5605 2014-08-14
1770990871 Chase Warren-ojameruaye Registered Nurse 1224 E Angela Dr, Phoenix, AZ 85022-2081 2014-07-21
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Competitor

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City PHOENIX
Zip Code 85053

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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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