Marilyn Ann Staires, | |
18614 W Onyx Ave, Waddell, AZ 85355-4448 | |
(480) 467-8665 | |
Not Available |
Full Name | Marilyn Ann Staires |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 18614 W Onyx Ave, Waddell, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962724799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN106359 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP3646 (Arizona) | Primary |
Entity Name | Equity Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992451744 PECOS PAC ID: 4587051446 Enrollment ID: O20220422000930 |
Entity Name | Peace Of Mind Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215607957 PECOS PAC ID: 5991182834 Enrollment ID: O20220516002380 |
Entity Name | Free Life Wellness Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316539687 PECOS PAC ID: 2961881529 Enrollment ID: O20220628002341 |
Mailing Address | Practice Location Address |
---|---|
Marilyn Ann Staires, 5105 E Mark Ln, Cave Creek, AZ 85331-3392 Ph: (480) 467-8665 | Marilyn Ann Staires, 18614 W Onyx Ave, Waddell, AZ 85355-4448 Ph: (480) 467-8665 |
Mrs. Cynthia Mcbroom, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7000 N Cotton Ln Unit 64, Waddell, AZ 85355 Phone: 602-803-3869 | |
Ms. Suzanne Patricia Coppola, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17946 W North Ln, Waddell, AZ 85355 Phone: 602-769-1011 | |
Keri Crafton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6517 N 175th Ave, Waddell, AZ 85355 Phone: 623-925-5649 | |
Maria Celia Fox, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18613 W Cinnabar Ave, Waddell, AZ 85355 Phone: 480-433-2922 |