MARILYN ANN STAIRES


Address: 18614 W Onyx Ave, Waddell, AZ 85355-4448
Phone: 4804678665

MARILYN ANN STAIRES (NPI# 1962724799) 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) 1962724799
Entity Type Individual
Full Name MARILYN ANN STAIRES
Practice Address 18614 W Onyx Ave
Waddell
AZ 85355-4448
Practice Telephone 4804678665
Mailing Telephone 4804678665
Enumeration Date 2010-02-21
Last Update Date 2011-07-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN106359 AZ Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP3646 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18614 W ONYX AVE
City WADDELL
State AZ
Zip Code 85355-4448

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WADDELL
Zip Code 85355

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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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