Provider Demographics
NPI:1073292181
Name:PLIAKOS, EKATERINI (ARNP)
Entity Type:Individual
Prefix:
First Name:EKATERINI
Middle Name:
Last Name:PLIAKOS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45202 N CASTLE HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:AZ
Mailing Address - Zip Code:85342-9607
Mailing Address - Country:US
Mailing Address - Phone:309-721-6581
Mailing Address - Fax:
Practice Address - Street 1:9220 E MOUNTAIN VIEW RD STE 215
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5136
Practice Address - Country:US
Practice Address - Phone:480-214-3313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ294370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily