Anna Lavette Lee, | |
2105 N Citrus Rd, Goodyear, AZ 85395-9204 | |
(623) 853-0304 | |
Not Available |
Full Name | Anna Lavette Lee |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2105 N Citrus Rd, Goodyear, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801594890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1110946 (Arizona) | Primary |
Entity Name | Mind 247 Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566 |
Mailing Address | Practice Location Address |
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Anna Lavette Lee, 2105 N Citrus Rd, Goodyear, AZ 85395-9204 Ph: (330) 209-7586 | Anna Lavette Lee, 2105 N Citrus Rd, Goodyear, AZ 85395-9204 Ph: (623) 853-0304 |
Benilde Mwiseneza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Miss Kathryn Leigh Miller, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 203, Goodyear, AZ 85395 Phone: 623-512-4390 | |
Hussein Haidar, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395 Phone: 623-295-1190 | |
Amanda Jo Frary, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd Ste 302, Goodyear, AZ 85395 Phone: 623-404-3046 | |
Shannon Torrez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16751 W Shiloh Ave, Goodyear, AZ 85338 Phone: 480-372-7703 | |
Ana Maria Fuentes, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395 Phone: 623-512-4190 Fax: 623-512-4194 | |
Yvette Thorson, PA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 N Estrella Pkwy Ste 60, Goodyear, AZ 85338 Phone: 623-321-5079 Fax: 623-321-5083 |