AGAVE SURGICAL SERVICES LLC


Address: 2045 S Vineyard Ste 142, Mesa, AZ 85210-6891
Phone: 4803306010

AGAVE SURGICAL SERVICES LLC (NPI# 1477026862) 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) 1477026862
Entity Type Organization
Organization Name AGAVE SURGICAL SERVICES LLC
Practice Address 2045 S Vineyard Ste 142
Mesa
AZ 85210-6891
Practice Telephone 4803306010
Mailing Telephone 4803306010
Enumeration Date 2019-01-08
Last Update Date 2019-01-08
Authorized Official Name BERNADETTE ANDALKAR (OWNER)
Authorized Official Telephone 5204908368
Authorized Official Credential ACNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2045 S VINEYARD STE 142
City MESA
State AZ
Zip Code 85210-6891

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851681498 Bernadette Marie Andalkar Nurse Practitioner 2045 S Vineyard Ste 142, Mesa, AZ 85210 2011-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497382501 Mesa Center for Family Medicine Internal Medicine 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 2020-03-26
1780177121 Jessica Cannata Speech-Language Pathologist 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 2018-06-11
1831680305 Alexandra Katherine Ebong Nurse Practitioner 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 2018-05-21
1548762719 Russell D. Meldrum, M.d. Pllc Orthopaedic Surgery 855 W. Southern Ave., #1114, Mesa, AZ 85210 2018-03-05
1023510435 Denise M Bruno-krupp Counselor 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 2018-03-01
1609374529 Gene R Lullo Social Worker 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 2018-01-25
1295264000 Ashley P Smith Naturopath 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 2017-06-06
1386184059 Brittany Johnson Counselor 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 2017-03-01
1487190880 Mesa Valley Modern Dentistry, LLP Dentist 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 2017-01-10
1821544529 Sandra Coren Licensed Practical Nurse 32 S Mcdonald, Tlc, Mesa, AZ 85210 2016-09-01
Find all providers in zip 85210

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255955282 Erica Leigh Whetten Nurse Practitioner 1520 S Dobson Rd Ste 218, Mesa, AZ 85202-4754 2020-06-05
1366097255 Samantha Alice Polito Nurse Practitioner 6750 E Baywood Ave Ste 401, Mesa, AZ 85206-1749 2019-08-07
1396203113 Rakhi Joshi Nurse Practitioner 2919 S Ellsworth Rd Ste 139, Mesa, AZ 85212-2168 2019-03-11
1457839896 Noah Kipkorir Sang Nurse Practitioner 7525 E Broadway Rd Ste 11, Mesa, AZ 85208-1156 2018-07-28
1659828358 Devon Lewis Nurse Practitioner 1701 N Sundial, Mesa, AZ 85205-3544 2016-09-10
1508210659 Kristina Denise Bardwell Nurse Practitioner 1520 S Dobson Rd Ste 209, Mesa, AZ 85202-4753 2016-04-14
1639538986 Mark Raymond Hinde Nurse Practitioner 1237 S Val Vista Dr Ste 122, Mesa, AZ 85204-6401 2016-02-15
1558751396 Tami Howard Nurse Practitioner 6020 E Arbor Ave Ste 101, Mesa, AZ 85206-6102 2015-02-02
1003195025 Aida E Amado Nurse Practitioner 10163 E Jacob Ave, Mesa, AZ 85209-7086 2011-08-08
1942595830 Ruth Anne Skinner Nurse Practitioner 1434 N Delmar, Mesa, AZ 85203-3805 2011-06-18
Find all providers in MESA

Competitor

Search similar providers

City MESA
Zip Code 85210

Improve Information

Please comment or provide details below to improve the information on AGAVE SURGICAL SERVICES LLC.

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.

Trending Searches