Michelle Gavura, PT
Individual provider Active NPI Specialist · Carefree, AZ
NPI 1952736159 · NPPES record last updated Sep 6, 2013
Key facts
- NPI
- 1952736159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 6249 (AZ)
- Practice address
- 7208 E. Cave Creek Rd
Carefree, AZ 85337-5924 - Phone
- (480) 488-9095
- Fax
- (480) 488-2862
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6249 | AZ | MD | Hospitalist Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6249 | AZ | Yes |
Addresses
Primary practice location
7208 E. Cave Creek Rd
Carefree, AZ 85337-5924
Mailing address
PO Box 5924
7208 E. Cave Creek Rd
Carefree, AZ 85377-5924
Phone (480) 488-9095
Other providers in Carefree, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2013. 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.