Provider Demographics
NPI:1285225839
Name:MOXI MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:MOXI MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ARNP
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MUFF
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:480-563-0634
Mailing Address - Street 1:8900 E PINNACLE PEAK RD STE D6
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3647
Mailing Address - Country:US
Mailing Address - Phone:480-563-0634
Mailing Address - Fax:833-626-0483
Practice Address - Street 1:8900 E PINNACLE PEAK RD STE D6
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3647
Practice Address - Country:US
Practice Address - Phone:480-563-0634
Practice Address - Fax:833-626-0483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912306101OtherPERSONAL NPI