Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARA DANIELLE IMMEDIATO, PA-C
ActiveMARA DANIELLE IMMEDIATO, PA-C is a Surgical Physician Assistant healthcare provider located in TEMPE, Arizona. NPI 1538410071 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · TEMPE, AZ
Registration Details
- NPI Number
- 1538410071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2012 (13.850476894128 yrs)
- Last Updated
- Feb 4, 2019
- License
-
5195 (AZ)
Practice Information
- Address
-
1255 W RIO SALADO PKWY STE 107TEMPE, AZ, 852812892Browse AZ providers · Browse ZIP 85281
- Phone
- 4809620071
- Fax
- 4809620590
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| LANNY L ODEN | C-FA | 1710940192 |
| MICHAEL TIMOTHY KELLEY | M.S. PA-C | 1073571816 |
| MRS. VANESSA RENE FISHER | PA-C | 1184876492 |
| DONALD GRACE | PA | 1891190062 |
| GREGORY ROBERT BILLINGS | MPAS | 1598340044 |
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.