| Amanda Lynn Stover, | |
|
3830 E Van Buren St, Phoenix, AZ 85008-6920 | |
| (602) 243-7277 | |
| (602) 286-0808 |
| Full Name | Amanda Lynn Stover |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3830 E Van Buren St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134710197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86100192 (Arizona) | Primary |
| Provider Name | Mountain Park Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lynn Stover, 3003 N Central Ave Ste 1600, Phoenix, AZ 85012-2908 Ph: (602) 323-3344 | Amanda Lynn Stover, 3830 E Van Buren St, Phoenix, AZ 85008-6920 Ph: (602) 243-7277 |
Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787 | |
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 | |
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246 | |
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225 | |
Miss Erika Josephine Barrera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16601 N 12th St Apt 1142, Phoenix, AZ 85022 Phone: 520-425-9698 | |
Melanie Shay Colville, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013 Phone: 602-406-3611 Fax: 602-406-4363 | |
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |