Provider Demographics
NPI:1255657433
Name:NANCY ONYETT FNP-C PLLC
Entity Type:Organization
Organization Name:NANCY ONYETT FNP-C PLLC
Other - Org Name:PYRAMID PREVENTATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYETT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:623-326-5337
Mailing Address - Street 1:7500 E PINNACLE PEAK RD
Mailing Address - Street 2:A207
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3406
Mailing Address - Country:US
Mailing Address - Phone:623-326-5337
Mailing Address - Fax:480-419-6134
Practice Address - Street 1:7500 E PINNACLE PEAK RD
Practice Address - Street 2:A207
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3406
Practice Address - Country:US
Practice Address - Phone:623-326-5337
Practice Address - Fax:480-419-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP 1317261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ617863Medicaid
AZ617863Medicaid