Maez, Fedelia
Maez, Fedelia is an individual health care provider with primary practice located at 1473 N Dysart Rd Suite 100, Avondale AZ 85323-1548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maez, Fedelia can be contacted via phone (623) 925-4931.Contact Information
Primary practice address
1473 N Dysart Rd Suite 100
Avondale AZ 85323-1548
Phone: (623) 925-4931
Fax: (623) 882-0839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3440 | Arizona |
Profile Details
NPI number | 1225167331 |
---|---|
LBN Legal business name | Maez, Fedelia |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 5th, 2007 |
Last updated | Jul 22nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225167331 | NPPES |
Arizona | MEDICAID | 194907 |
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