Organization
CIGNA MEDICAL GROUP
Active
Parent organization
CIGNA HEALTHCARE OF ARIZONA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIGNA HEALTHCARE OF ARIZONA, INC
Authorized official
YOLANDA RENEE GREEN (CREDENTIALING SPECIALIST)
(623) 277-1130
Entity
Organization
Contact information
Practice address
3003 N 3RD ST, PHOENIX, AZ 85012-3031
(602) 282-9800
Mailing address
8888 E RAINTREE DR FL 3, SCOTTSDALE, AZ 85260-3951
(602) 328-8400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8558
AZ
Other
Enumeration date
04/11/2016
Last updated
06/16/2023
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