ABBY MICHELE NASTERNAK (NPI# 1689645467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689645467 |
| Entity Type | Individual |
| Full Name | ABBY MICHELE NASTERNAK |
| Other Name | ABBY MICHELE JOHNSON |
| Credential | PA C |
| Practice Address |
9494 W Northern Ave 101 Glendale AZ 85305-1118 |
| Mailing Address |
2550 N Thunderbird Cir Mesa AZ 85215-1214 |
| Practice Telephone | 6238722226 |
| Mailing Telephone | 4803532235 |
| Mailing Fax Number | 4807760025 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3033 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 885048 | 05 |
| Street Address |
9494 W NORTHERN AVE 101 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85305-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831527373 | Sofia Shalomov | Physician Assistant | 9494 W Northern Ave, Glendale, AZ 85305-1118 | 2013-10-18 |
| 1336571207 | Adrienne Dana Unger | Nurse Practitioner | 9494 W Northern Ave, Suite 101, Glendale, AZ 85305-1118 | 2013-08-02 |
| 1689993974 | Nextcare Arizona LLC | Clinic/Center | 9494 W Northern Ave, Ste. 101, Glendale, AZ 85305-1118 | 2010-05-26 |
| 1558548727 | Emilie Louise Vargaz | Physician Assistant | 9494 W Northern Ave, Suite 101, Glendale, AZ 85305-1118 | 2008-01-29 |
| 1255397220 | Lori Ann Blake | Nurse Practitioner | 9494 W Northern Ave, Ste 101, Glendale, AZ 85305-1118 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1447772835 | Trekfit LLC | Dietitian, Registered | 9033 West State Avenue, Glendale, AZ 85305 | 2017-07-07 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1124334933 | Marlana Angela Morrow | Pharmacist | 8990 W. Glendale Ave., Glendale, AZ 85305 | 2010-08-31 |
| 1750444261 | Norma Euyenia Quintero | Technician | 8950 W Sierra Vista, Glendale, AZ 85305 | 2006-12-18 |
| 1093232514 | O'lua Therapy LLC | Occupational Therapy Assistant | 9524 W Camelback Rd, Ste. C-130 Pmb 232, Glendale, AZ 85305 | 2017-08-25 |
| 1427325273 | Modern Dental Professionals-arizona PC | Dentist | 9230 W Northern Ave, 106, Glendale, AZ 85305-1100 | 2011-11-22 |
| 1134142409 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2006-07-26 |
| Find all providers in zip 85305 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
| 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.