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ELAINE MARIE NEW MOON FNP
NPI 1962628271
Nurse Practitioner - Family in Phoenix, AZ

Active since April 17, 2007
4520 N CENTRAL AVE STE 130, WILCOX SUMMER HAWK RANCH, PHOENIX, AZ 85012(602) 424-1600(602) 532-7202 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elaine Marie New Moon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINE MARIE NEW MOON FNP (NPI 1962628271) is an individual family provider in Phoenix, Arizona, licensed in Arizona (RN064934) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1962628271
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELAINE MARIE NEW MOONCredential: FNP
Location Address4520 N CENTRAL AVE STE 130, WILCOX SUMMER HAWK RANCHPhoenix, AZ 85012-1804
Mailing Address4520 N Central #130, Wilcox Summer Hawk RanchPhoenix, AZ 85012 · (602) 424-1600 · Fax (602) 532-7202
Phone(602) 424-1600
Fax(602) 532-7202
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 18, 2009
✔ NPI 1962628271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN064934
4520 N CENTRAL AVE STE 130, Phoenix, AZ 85012
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN INDIAN PREVENTION COALTION
Community/Behavioral Health
4520 N CENTRAL AVE STE 130
PHOENIX, AZ 85012
Maricopa County (602) 424-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine New Moon's NPI number?

The NPI number for Elaine New Moon is 1962628271. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Elaine New Moon located?

Elaine New Moon practices at 4520 N Central Ave Ste 130 Wilcox Summer Hawk Ranch, Phoenix, AZ 85012. The listed phone number is (602) 424-1600.

What is Elaine New Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elaine New Moon was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.