Massimo, Annmarie

Massimo, Annmarie is an individual health care provider with primary practice located at 919 12Th Pl #1, Prescott AZ 86305-1433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Massimo, Annmarie can be contacted via phone (928) 778-4300.

Contact Information

Primary practice address
919 12Th Pl #1 Prescott AZ 86305-1433
Phone: (928) 778-4300
Fax: (928) 771-0920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN034359 Arizona

Profile Details

NPI number 1407994809
LBN Legal business name Massimo, Annmarie
Credentials OGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Mar 21st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407994809 NPPES
Arizona MEDICAID 557291

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