Heather Diane Hargrave, PA-S
Heather Diane Hargrave, PA-S is a Physician Assistant in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 7
- Licensed in
- AZ
- In the registry since
- 2018
Practice location Address checks out
635 E Baseline RdPhoenix, AZ 85042
Phone: (602) 243-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 7586 (AZ) |
|---|
Record details
| NPI number | 1215404652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-S |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2018 |
| Last updated in NPPES | September 11, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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