Provider Demographics
NPI:1023267051
Name:FAUST, PATRICIA ANN (NP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:FAUST
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:9590 E IRONWOOD SQUARE DR
Mailing Address - Street 2:STE 125
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4583
Mailing Address - Country:US
Mailing Address - Phone:480-455-3000
Mailing Address - Fax:
Practice Address - Street 1:6200 S MCCLINTOCK DR
Practice Address - Street 2:104
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3268
Practice Address - Country:US
Practice Address - Phone:480-388-3666
Practice Address - Fax:480-388-3667
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2018-10-03
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Provider Licenses
StateLicense IDTaxonomies
AZRN082443363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP85105Medicare UPIN