Provider Demographics
NPI:1316939630
Name:ROPE, DAVID JOHN (NP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHN
Last Name:ROPE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21683 S 215TH PL
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5970
Mailing Address - Country:US
Mailing Address - Phone:480-280-2977
Mailing Address - Fax:
Practice Address - Street 1:1270 E BROADWAY RD STE 103
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1516
Practice Address - Country:US
Practice Address - Phone:928-985-1495
Practice Address - Fax:928-597-5198
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1112363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP78785Medicare UPIN