Titterington, Genaya

Titterington, Genaya is an individual health care provider with primary practice located at 4137 N 108Th Ave , Phoenix AZ 85037-5459. 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. Titterington, Genaya can be contacted via phone (623) 877-7337.

Contact Information

Primary practice address
4137 N 108Th Ave Phoenix AZ 85037-5459
Phone: (623) 877-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3229 Arizona

Profile Details

NPI number 1083603799
LBN Legal business name Titterington, Genaya
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jun 29th, 2021 - about 5 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 1083603799 NPPES
Arizona MEDICAID 962979

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