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Aneesha Hanan Bakir Sullivan, PA-C
Physician Assistant in Phoenix, Arizona
NPI 1619151610

Aneesha Hanan Bakir Sullivan is a Physician Assistant based in Tolleson, AZ. Aneesha Hanan Bakir Sullivan practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Aneesha Hanan Bakir Sullivan is 1619151610 and holds a License No. 5471496 (Arizona).

The current practice location address for Aneesha Hanan Bakir Sullivan is 11034 N 23Rd Dr Ste 105B, Phoenix, AZ and can be reached out via phone at 602-639-0189 and via fax at 844-955-2502.

Location: 11034 N 23Rd Dr Ste 105B, Phoenix, AZ, 85353-2942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619151610
Provider Name
Aneesha Hanan Bakir Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11034 N 23Rd Dr Ste 105B, Phoenix, AZ, 85353-2942
Phone Number
602-639-0189
Fax Number
844-955-2502
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
669150 05 AZ
institution
Provider Business Practice Location Address Details
Address
11034 N 23Rd Dr Ste 105B
City
Phoenix
State
Arizona
Zip
85029-4743
Phone Number
602-639-0189
Fax Number
844-955-2502
person
Provider Business Mailing Address Details
Address
11034 N 23Rd Dr Ste 105B
City
Phoenix
State
Arizona
Zip
85029-4743
Phone Number
602-639-0189
Fax Number
844-955-2502
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
4842 (Arizona)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
5471496 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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