MRS. DEBRA ROCKOFF MOURTSEN (NPI# 1841324134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841324134 |
Entity Type | Individual |
Full Name | MRS. DEBRA ROCKOFF MOURTSEN |
Credential | RN |
Practice Address |
4005 E. Butler Ave. Flagstaff AZ 86004 |
Practice Telephone | 9287734122 |
Practice Fax Number | 9287734130 |
Mailing Telephone | 9287734122 |
Mailing Fax Number | 9287734130 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
RN089668 | AZ | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 550336 | 05 |
Street Address |
4005 E. BUTLER AVE. |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447455571 | Patricia J Fameli | Registered Nurse | 2195 W Adirondack Ave, Flagstaff, AZ 86001-2405 | 2007-06-19 |
1992917199 | Sally Tachias Mcmillian | Registered Nurse | 3285 E. Sparrow Ave, Flagstaff, AZ 86004 | 2007-05-03 |
1316071798 | Kathryn T Davis | Registered Nurse | 3950 E Butler Ave, Flagstaff, AZ 86004-7852 | 2007-03-15 |
1215060710 | Margaret D Douglas | Registered Nurse | 506 S Beaver St, Flagstaff, AZ 86001-5600 | 2007-03-13 |
1316077084 | Sandy D Bailey | Registered Nurse | 1601 S Lone Tree Rd, Flagstaff, AZ 86001-6446 | 2007-03-06 |
1679187512 | Carrie Roby | Registered Nurse | 4000 N Cummings St, Flagstaff, AZ 86004-2437 | 2020-09-08 |
1861004954 | Sarah Gloeckler | Registered Nurse | 3401 N 4th St, Flagstaff, AZ 86004-1710 | 2020-08-19 |
1861004202 | Molly Kathleen Varley | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2020-08-18 |
1538792346 | Honna Bordwell | Registered Nurse | 400 W Elm Ave, Flagstaff, AZ 86001-1562 | 2020-02-20 |
1275004335 | Kimberly Maria Welsh | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2018-12-16 |
Find all providers in FLAGSTAFF |
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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.