Doctor Name: | MICHELE A RIEP |
NPI Number: | 1003126244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | AP4619 |
Business Practice Address: | 3003 N Central Ave Suite 800 Phoenix, AZ - 850122902 |
Business Phone Number: | 6024621132 |
Business Fax Number: | |
Mailing Address: | 3003 N Central Ave, Suite 800 PHOENIX |
State: | AZ |
Postal Code: | 850122902 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP4619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |