Provider Demographics
NPI:1861648867
Name:ARCADIA WELL WOMAN LLC
Entity Type:Organization
Organization Name:ARCADIA WELL WOMAN LLC
Other - Org Name:CREATIVE PARTNERS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DALE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:RNP-C
Authorized Official - Phone:480-421-9938
Mailing Address - Street 1:7514 E MONTEREY WAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6900
Mailing Address - Country:US
Mailing Address - Phone:480-421-9938
Mailing Address - Fax:480-429-2354
Practice Address - Street 1:7514 E MONTEREY WAY
Practice Address - Street 2:SUITE 3
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6900
Practice Address - Country:US
Practice Address - Phone:480-421-9938
Practice Address - Fax:480-429-2354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2646363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ634802OtherAHCCCS
AZ634802OtherAHCCCS