Minette Atemafac Anu
Individual provider Active NPI Registered Nurse · Vail, AZ
NPI 1700611647 · NPPES record last updated Sep 2, 2024
Key facts
- NPI
- 1700611647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 283681 (AZ)
- Practice address
- 12568 E Caden Dr
Vail, AZ 85641-1050 - Phone
- (520) 301-6352
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283681 | AZ | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 283681 | AZ | Yes |
Addresses
Primary practice location
12568 E Caden Dr
Vail, AZ 85641-1050
Mailing address
12568 E Caden Dr
Vail, AZ 85641-1050
Phone (520) 301-6352
Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.