Provider Demographics
NPI:1700321650
Name:ANN MARIE D'ONOFRIO
Entity Type:Organization
Organization Name:ANN MARIE D'ONOFRIO
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:D'ONOFRIO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:623-451-3989
Mailing Address - Street 1:2623 W WAYNE LN
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-4915
Mailing Address - Country:US
Mailing Address - Phone:623-451-3989
Mailing Address - Fax:
Practice Address - Street 1:2623 W WAYNE LN
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-4915
Practice Address - Country:US
Practice Address - Phone:623-451-3989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-02
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1184251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care