Maez, Fedelia

Maez, Fedelia is an individual health care provider with primary practice located at 1473 N Dysart Rd Suite 100, Avondale AZ 85323-1548. 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. Maez, Fedelia can be contacted via phone (623) 925-4931.

Contact Information

Primary practice address
1473 N Dysart Rd Suite 100 Avondale AZ 85323-1548
Phone: (623) 925-4931
Fax: (623) 882-0839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3440 Arizona

Profile Details

NPI number 1225167331
LBN Legal business name Maez, Fedelia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 22nd, 2008 - about 17 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 1225167331 NPPES
Arizona MEDICAID 194907

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