| North Valley Family Medicine Pc | |
|
6320 W Union Hills Dr Ste 2800b Glendale AZ 85308-1380 | |
| (623) 322-4991 | |
| (623) 322-9568 |
| Full Name | North Valley Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6320 W Union Hills Dr Ste 2800b, Glendale, Arizona |
| Authorized Official Name and Position | John W Ellis (PRESIDENT) |
| Authorized Official Contact | 6233224991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley Family Medicine Pc 6320 W Union Hills Dr Ste 2800b Glendale AZ 85308-1380 Ph: (623) 322-4991 | North Valley Family Medicine Pc 6320 W Union Hills Dr Ste 2800b Glendale AZ 85308-1380 Ph: (623) 322-4991 |
| NPI Number | 1750344347 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 2668462201 |
|---|---|
| Medicare Enrollment ID | O20040514001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750344347 | NPI | - | NPPES |
| 07-646940-R | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deborah A Hahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629075932 PECOS PAC ID: 3072503622 Enrollment ID: I20050404000943 |
| Provider Name | Tanya B Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854676 PECOS PAC ID: 2567535529 Enrollment ID: I20080723000905 |
| Provider Name | John Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285631242 PECOS PAC ID: 0345230991 Enrollment ID: I20120109000309 |
| Provider Name | Anna Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669101796 PECOS PAC ID: 7719367499 Enrollment ID: I20220712002693 |
| Provider Name | Stephanie Lee Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508629726 PECOS PAC ID: 2466897061 Enrollment ID: I20240305000731 |
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