Motter, Alan W

Motter, Alan W is an individual health care provider with primary practice located at 1110 E Route 66 , Flagstaff AZ 86001-4771. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is his primary health care specialty. Motter, Alan W can be contacted via phone (928) 773-9695.

Contact Information

Primary practice address
1110 E Route 66 Flagstaff AZ 86001-4771
Phone: (928) 773-9695
Fax: (928) 772-0208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN076694 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AZ AP 2229 Arizona

Profile Details

NPI number 1962470963
LBN Legal business name Motter, Alan W
Credentials FNP -C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 15th, 2011 - about 13 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 1962470963 NPPES
Arizona MEDICAID 00640

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