Provider Demographics
NPI:1720555386
Name:SLOVEK, ANNABEL POLLY (NP)
Entity Type:Individual
Prefix:
First Name:ANNABEL
Middle Name:POLLY
Last Name:SLOVEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANNABEL
Other - Middle Name:
Other - Last Name:SPIERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:645 E MISSOURI AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1351
Mailing Address - Country:US
Mailing Address - Phone:602-262-8900
Mailing Address - Fax:
Practice Address - Street 1:9305 W THOMAS RD STE 500
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3354
Practice Address - Country:US
Practice Address - Phone:602-242-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN178307163W00000X
AZ220519363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse