Provider Demographics
NPI:1033456967
Name:GRAND CANYON EDUCATION, INC.
Entity Type:Organization
Organization Name:GRAND CANYON EDUCATION, INC.
Other - Org Name:GRAND CANYON UNIVERSITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEAN, COLLEGE OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MSN, BSN, RN
Authorized Official - Phone:602-639-6167
Mailing Address - Street 1:3300 W CAMELBACK RD
Mailing Address - Street 2:ATTN: CAMPUS HEALTH SERVICES
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-3030
Mailing Address - Country:US
Mailing Address - Phone:602-639-6215
Mailing Address - Fax:
Practice Address - Street 1:3300 W CAMELBACK RD
Practice Address - Street 2:CANYON HEALTH & WELLNESS CLINIC
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-3030
Practice Address - Country:US
Practice Address - Phone:602-639-6215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261QS1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health