Provider Demographics
NPI:1518442128
Name:MARROTT-WARE, ANU (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ANU
Middle Name:
Last Name:MARROTT-WARE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:ANU
Other - Middle Name:
Other - Last Name:MARROTT-WARE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:44400 W HONEYCUTT RD STE 102I
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2945
Mailing Address - Country:US
Mailing Address - Phone:480-653-4051
Mailing Address - Fax:872-210-5335
Practice Address - Street 1:44400 W HONEYCUTT RD STE 102I
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2945
Practice Address - Country:US
Practice Address - Phone:480-653-4051
Practice Address - Fax:872-210-5335
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ218031363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health