DEBRA SHANNON WITTHAR (NPI# 1760090427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760090427 |
| Entity Type | Individual |
| Full Name | DEBRA SHANNON WITTHAR |
| Credential | BSN, MSN, DNP |
| Practice Address |
10515 W Santa Fe Dr Bldg B Sun City AZ 85351-3020 |
| Mailing Address |
10515 W Santa Fe Dr Bldg B1 Sun City AZ 85351-3020 |
| Practice Telephone | 6238326530 |
| Mailing Telephone | 6238326530 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
243265 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10515 W SANTA FE DR BLDG B |
| City | SUN CITY |
| State | AZ |
| Zip Code | 85351-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003566 | T&h Hearing LLC | Hearing Aid Equipment | 13616 N. 99th Ave., Sun City, AZ 85351 | 2019-09-20 |
| 1881247682 | Amanda M Neri | Physician Assistant | 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 | 2019-07-20 |
| 1649822313 | Azmed Rehab LLC | Family Medicine | 14281 North Del Webb Blvd, Sun City, AZ 85351 | 2019-07-12 |
| 1982182267 | Akdhc, LLC | Internal Medicine | 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 | 2018-07-30 |
| 1871084814 | Amy Mikulec | Physical Therapist | Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 | 2018-05-25 |
| 1194238345 | Lorie Jo Matthews | Nurse Practitioner | 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 | 2017-11-09 |
| 1184153363 | Susan Jane Hockman | Registered Nurse | 14601 N Delwebb Blvd, Sun City, AZ 85351 | 2017-06-09 |
| 1043769169 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 | 2016-09-30 |
| 1033563002 | Vittoria Giovannucci | Technician/Technologist | 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 | 2016-04-15 |
| 1669858379 | Qui Nguyen | Pharmacist | 10660 Nw Grand Ave, Sun City, AZ 85351 | 2015-08-04 |
| Find all providers in zip 85351 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303028 | Stephanie Dianne De Santiago | Nurse Practitioner | 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425123 | Erin Jean Mcmanus-tomanek | Nurse Practitioner | 12851 N 142nd Ave, Surprise, AZ 85379-9502 | 2020-10-21 |
| 1154928463 | Willie Sellers | Nurse Practitioner | 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 | 2020-10-08 |
| 1255955506 | Christy J Holloway | Nurse Practitioner | 2645 E Southern Ave, Tempe, AZ 85282-7649 | 2020-06-02 |
| 1013552124 | Alliance With The Covenant of The Trinity Arizona Inc | Nurse Practitioner | 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 | 2019-11-12 |
| 1184197691 | Waheed Olawoyin Olabode | Nurse Practitioner | 12853 S 184th Ave, Goodyear, AZ 85338-2642 | 2019-01-08 |
| 1508381880 | Marcie Marie Camblin | Nurse Practitioner | 16551 N Naegel Dr, Surprise, AZ 85374-5411 | 2017-08-08 |
| 1508105727 | Geriatric Health Services, Plc | Nurse Practitioner | 1013 W Longhorn Rd, Payson, AZ 85541-4282 | 2013-02-07 |
| 1194070227 | Debra Rouse Haber | Nurse Practitioner | 755 S Grapevine Loop, Benson, AZ 85602-7430 | 2012-07-15 |
| 1346504818 | Your Nurse Practitioner LLC | Nurse Practitioner | 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 | 2012-06-29 |
| 1023222551 | Mary L Froehlich | Nurse Practitioner | 2930 E Camelback Rd, Phoenix, AZ 85016-4411 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
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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.