| Autumn Grant, FNP | |
|
13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 | |
| (623) 235-4382 | |
| Not Available |
| Full Name | Autumn Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 13555 W Mcdowell Rd Ste 205, Goodyear, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184206872 | NPI | - | NPPES |
| 260694 | Other | AZ | ARIZONA STATE BOARD OF NURSING |
| F03211332 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 260694 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dandg Medical Associates Pllc | 6709140510 | 8 |
| Entity Name | D&g Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669975900 PECOS PAC ID: 6709140510 Enrollment ID: O20180502002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Grant, FNP 1300 S Watson Rd # 114-193, Buckeye, AZ 85326-6303 Ph: () - | Autumn Grant, FNP 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395-2626 Ph: (623) 235-4382 |
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 |