Provider Demographics
NPI:1770710097
Name:PRITCHARD, ADRIANA LEA (MD)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:LEA
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ADRIANA
Other - Middle Name:LEA
Other - Last Name:CYNECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:530 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3204
Mailing Address - Country:US
Mailing Address - Phone:602-422-9000
Mailing Address - Fax:602-556-5951
Practice Address - Street 1:1300 NORTH 12TH STREET
Practice Address - Street 2:SUITE 407
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-839-4915
Practice Address - Fax:602-839-5112
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR71515207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology