Trujillo-Olkkonen, Heather A
Trujillo-Olkkonen, Heather A is an sole proprietor health care provider with primary practice located at 3130 E Baseline Rd Ste 107 , Mesa AZ 85204-7290. She recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Trujillo-Olkkonen, Heather A can be contacted via phone (480) 345-1980.Contact Information
Primary practice address
3130 E Baseline Rd Ste 107
Mesa AZ 85204-7290
Phone: (480) 345-1980
Fax: (480) 926-1721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7057360001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7047150001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7209350001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 70349500001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7046960001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7939960001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 704516001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 8220410001 | Arizona |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 7629170001 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5925 | Arizona |
Profile Details
| NPI number | 1700864071 |
|---|---|
| LBN Legal business name | Trujillo-Olkkonen, Heather A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jul 17th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700864071 | NPPES |
| Arizona | MEDICAID | 974750 |
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