Konya, Maurisa O

Konya, Maurisa O is an individual health care provider with primary practice located at 5601 W. Eugie Ave. Suite 204, Glendale AZ 85304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Konya, Maurisa O can be contacted via phone (480) 443-8400.

Contact Information

Primary practice address
5601 W. Eugie Ave. Suite 204 Glendale AZ 85304
Phone: (480) 443-8400
Fax: (480) 443-8697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2531 Arizona

Profile Details

NPI number 1356324834
LBN Legal business name Konya, Maurisa O
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Apr 12th, 2013 - 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 1356324834 NPPES
Arizona Other 2531 ARIZONA PA LICENSE

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