Basic Information
Provider Information
NPI: 1821584368
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAM
FirstName: MARGIE
MiddleName: HUNA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13400 E SHEA BLVD
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 852595452
CountryCode: US
TelephoneNumber: 4804374722
FaxNumber:  
Practice Location
Address1: 13400 E SHEA BLVD
Address2:  
City: SCOTTSDALE
State: AZ
PostalCode: 852595452
CountryCode: US
TelephoneNumber: 4803018000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/09/2018
LastUpdateDate: 10/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
367500000XCRNA1554AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home