MRS. MARY ANN SHOSTEK PA-C
NPI 1194984823
Physician Assistant - Medical in Mesa, AZ
Active since June 06, 2008
About Mrs. Mary Ann Shostek Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ANN SHOSTEK PA-C (NPI 1194984823) is an individual medical provider in Mesa, Arizona, licensed in Arizona (3103) and active in the NPI registry since June 2008.
NPPES Registry Identity
NPI1194984823
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARY ANN SHOSTEKCredential: PA-C
Location Address2152 S VINEYARD STE 138Mesa, AZ 85210-6882
Mailing Address2152 S Vineyard Ste 138Mesa, AZ 85210-6882 · (480) 539-6646 · Fax (480) 539-6696
Phone(480) 539-6646
Fax(480) 539-6696
Sole ProprietorNo
Enumeration DateJune 6, 2008
Last NPPES UpdateJune 9, 2008
✔ NPI 1194984823 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 3103
2152 S VINEYARD STE 138, Mesa, AZ 85210
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194984823, enumerated as an "individual" on June 06, 2008.
The provider is located at 2152 S VINEYARD STE 138 MESA, AZ 85210 and the phone number is (480) 539-6646.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
