Provider Demographics
NPI:1265551998
Name:VAN SCHIL, NOREEN ANN (PA)
Entity type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:ANN
Last Name:VAN SCHIL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 W CASITAS DEL RIO DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-7014
Mailing Address - Country:US
Mailing Address - Phone:623-580-7668
Mailing Address - Fax:
Practice Address - Street 1:2010 N 75TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-3247
Practice Address - Country:US
Practice Address - Phone:623-245-6695
Practice Address - Fax:623-245-3582
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2012363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical