Provider Demographics
NPI:1457476582
Name:NUEMAN, ELAINE M (PA)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:M
Last Name:NUEMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5080 SPECTRUM DR
Mailing Address - Street 2:SUITE 1200 WEST
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4648
Mailing Address - Country:US
Mailing Address - Phone:972-364-8000
Mailing Address - Fax:
Practice Address - Street 1:1818 E SKY HARBOR CIR N
Practice Address - Street 2:SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-3407
Practice Address - Country:US
Practice Address - Phone:602-244-9500
Practice Address - Fax:602-244-9543
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2017363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ132935Medicare UPIN
AZZ132934Medicare UPIN
AZZ120952Medicare PIN
AZZ126048Medicare PIN