Brittany Marie Divito, NP | |
5141 W Lamar Rd, Glendale, AZ 85301-3423 | |
(623) 344-6700 | |
(623) 344-6701 |
Full Name | Brittany Marie Divito |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5141 W Lamar Rd, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023546249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN204748 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP10261 (Arizona) | Primary |
Entity Name | District Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
Entity Name | Banner Urgent Care Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
Entity Name | Banner Urgent Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
Entity Name | Southwellness Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366099533 PECOS PAC ID: 8628486628 Enrollment ID: O20210412001458 |
Mailing Address | Practice Location Address |
---|---|
Brittany Marie Divito, NP 2929 E Thomas Rd, Phoenix, AZ 85016-8034 Ph: (602) 470-5000 | Brittany Marie Divito, NP 5141 W Lamar Rd, Glendale, AZ 85301-3423 Ph: (623) 344-6700 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507 | |
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100 | |
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101 | |
Kelly Lynn Rauch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307 Phone: 623-882-1292 Fax: 623-882-8184 | |
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808 | |
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546 | |
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381 |