| Mesquite Valley Integrated Health | |
|
560 W Brown Rd Ste 1011 Mesa AZ 85201-3222 | |
| (480) 509-7738 | |
| (480) 856-9069 |
| Full Name | Mesquite Valley Integrated Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 560 W Brown Rd Ste 1011, Mesa, Arizona |
| Authorized Official Name and Position | Troy Fulton (OWNER) |
| Authorized Official Contact | 4805097738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Valley Integrated Health 560 W Brown Rd Ste 1011 Mesa AZ 85201-3222 Ph: (480) 509-7738 | Mesquite Valley Integrated Health 560 W Brown Rd Ste 1011 Mesa AZ 85201-3222 Ph: (480) 509-7738 |
| NPI Number | 1790384014 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 07/23/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9032524384 |
|---|---|
| Medicare Enrollment ID | O20210218000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790384014 | NPI | - | NPPES |
| Provider Name | Troy Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053937599 PECOS PAC ID: 3779998034 Enrollment ID: I20210218001111 |
| Provider Name | Lori Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326719774 PECOS PAC ID: 3678962032 Enrollment ID: I20211105001661 |
| Provider Name | Jared Brink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306417258 PECOS PAC ID: 6709276611 Enrollment ID: I20211208003376 |
| Provider Name | Marcus Cain Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962072363 PECOS PAC ID: 1254721012 Enrollment ID: I20211209001860 |
| Provider Name | April Aranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346023090 PECOS PAC ID: 4486000270 Enrollment ID: I20231031001590 |
| Provider Name | Nicole Carrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720410855 PECOS PAC ID: 9032339114 Enrollment ID: I20240416002195 |
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