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Larissa Nicole Anthony, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1093099855

Larissa Nicole Anthony is a Medical Physician Assistant based in Mesa, AZ and is specialized in Medical. Larissa Nicole Anthony practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Larissa Nicole Anthony is 1093099855 and holds a License No. 4993 (Arizona).

The current practice location address for Larissa Nicole Anthony is 2550 W Union Hills Dr Ste 390, Phoenix, AZ and can be reached out via phone at 602-443-4068 and via fax at 623-434-8310.

Location: 2550 W Union Hills Dr Ste 390, Phoenix, AZ, 85206-1346
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Provider Profile Details
NPI Number
1093099855
Provider Name
Larissa Nicole Anthony
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2550 W Union Hills Dr Ste 390, Phoenix, AZ, 85206-1346
Phone Number
602-443-4068
Fax Number
623-434-8310
Provider Enumeration Date
09/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
339667 05 AZ
4993 01 AZ LICENSE
institution
Provider Business Practice Location Address Details
Address
2550 W Union Hills Dr Ste 390
City
State
Zip
85027-5197
Phone Number
602-443-4068
Fax Number
623-434-8310
person
Provider Business Mailing Address Details
Address
2550 W Union Hills Dr Ste 390
City
State
Zip
85027-5197
Phone Number
602-443-4068
Fax Number
623-434-8310
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4993 (Arizona)
Definition
Definition to come...
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