NPI 1053007849
Heather L Main, ADMINISTRATOROWNER
Practice location
- Address
- 1910 S Stapley Dr STE 221, Mesa, AZ 85204-6680
- Phone
- (480) 573-2269
- Fax
- (480) 573-2169
- Mailing address
- 10144 E Cintron Dr, Mesa, AZ 85212-9579
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1053007849
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Apr 2023
- Record last updated
- 13 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.