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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEATHER DIANE HARGRAVE, PA-S

Active Sole Proprietor

HEATHER DIANE HARGRAVE, PA-S is a Medical Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1215404652 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHOENIX, AZ

Registration Details

NPI Number
1215404652
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2018 (7.7708622931423 yrs)
Last Updated
Sep 11, 2019
License
7586 (AZ)
Sole Proprietor
Yes

Practice Information

Address
635 E BASELINE RD
PHOENIX, AZ, 85042
Browse AZ providers · Browse ZIP 85042
Phone
6022437277
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PHOENIX, AZ

Name Credential NPI
CARL ROBERT VANSELOW PA 1730186198
GLADYS A ADAMS PA-C 1982603601
RANDALL A PENCE PA-C 1770576720
MS. SHERRI LYNN SESSLER PAC 1215920269
MARY ISABEL BRADY PA-C 1871586834
RUSSELL DODSON P.A.C. 1760475354
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.