Individual
VANESSA SEEGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
641 W WARNER RD, GILBERT, AZ 85233-7266
(480) 722-9828
(480) 722-9831
Mailing address
1250 S CLEARVIEW AVE STE 100, URGENT CARE EXTRA, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031813
MEDICARE
AZ
01
—
031814
MEDICARE
AZ
01
—
031815
MEDICARE
AZ
01
—
031820
MEDICARE
AZ
Enumeration date
09/28/2006
Last updated
08/25/2015
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