Michele Nicole Iverson | Mesa, AZ • PECOS Search

Michele Nicole Iverson

Case Manager/Care Coordinator

Other Service Providers

262 E University Dr, Mesa, AZ 85201-5932

(602) 599-5443 (602) 599-5404

PECOS Enrollment

Based on the most recent information from CMS, provider Michele Nicole Iverson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1104222777
Provider Type
Individual
Full Name
Iverson, Michele Nicole
Credential
BA, CLINICIAN I

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/10/2014
Last Updated
11/10/2014

Contact Information

Practice Location

262 E University Dr, Mesa, AZ 85201-5932

(602) 808-2712

Mailing Location

202 E Earll Dr, Suite 200, Phoenix, AZ 85012-2647

(602) 599-5704

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer