Provider Demographics
NPI:1831441575
Name:ABRUZZESE, MARTHA CHAU (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:CHAU
Last Name:ABRUZZESE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15030 N HAYDEN RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2564
Mailing Address - Country:US
Mailing Address - Phone:480-659-5479
Mailing Address - Fax:480-361-7388
Practice Address - Street 1:15030 N HAYDEN RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2564
Practice Address - Country:US
Practice Address - Phone:480-659-5470
Practice Address - Fax:480-361-7388
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD02125270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily