Provider Demographics
NPI:1003248402
Name:MAURO, IRA EUNICE ARANDIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:IRA EUNICE
Middle Name:ARANDIA
Last Name:MAURO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:IRA EUNICE
Other - Middle Name:CRUZ
Other - Last Name:MAURO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:9201 E MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5199
Mailing Address - Country:US
Mailing Address - Phone:855-246-6287
Mailing Address - Fax:
Practice Address - Street 1:9201 E MOUNTAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5199
Practice Address - Country:US
Practice Address - Phone:855-246-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338108363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily