Nancy Anne Diverde-nushawg, PSYD is a
Psychologist - Clinical based in Phoenix, Arizona. Nancy Anne Diverde-nushawg is licensed to practice in Illinois (license number 071-005677) and her current practice location is
318 E Port Au Prince Ln, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 368-7005.
NPI number for Nancy Anne Diverde-nushawg is 1629082532 and her current mailing address is 318 E Port Au Prince Ln, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629082532.
Healthcare Provider's Profile
| Full Name | Nancy Anne Diverde-nushawg |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 318 E Port Au Prince Ln, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629082532
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 06/01/2010
Medical Identifiers
Medical identifiers for Nancy Anne Diverde-nushawg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629082532 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10677 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071-005677 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nancy Anne Diverde-nushawg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nancy Anne Diverde-nushawg, PSYD
318 E Port Au Prince Ln,
Phoenix, AZ 85022-3667
Ph: (602) 368-7005 | Nancy Anne Diverde-nushawg, PSYD
318 E Port Au Prince Ln,
Phoenix, AZ 85022-3667
Ph: (602) 368-7005 |
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