Provider Demographics
NPI:1295971026
Name:NORTH SCOTTSDALE WOMEN'S HEALTH, PLLC
Entity type:Organization
Organization Name:NORTH SCOTTSDALE WOMEN'S HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GRADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-661-1485
Mailing Address - Street 1:9745 N 90TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5066
Mailing Address - Country:US
Mailing Address - Phone:480-661-1485
Mailing Address - Fax:480-661-1495
Practice Address - Street 1:9745 N 90TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5066
Practice Address - Country:US
Practice Address - Phone:480-661-1485
Practice Address - Fax:480-661-1495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty