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Allison Putt

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

PECOS Enrollment

Based on the most recent information from CMS, provider Allison Putt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1679356083
Provider Type
Individual
Full Name
Putt, Allison
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/17/2023
Last Updated
1/6/2024

Contact Information

Practice Location

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

(480) 331-6322

Unlisted Fax

Mailing Location

16515 S 40th St Ste 143, Phoenix, AZ 85048-0560

(480) 331-6322

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 241569 Arizona

Allison Putt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Mcbride, Danielle Elizabeth

Zimmerman, Christina Marie

Harris, Kelly Rae

Pettit, Cassie Lynn

Gressley, Leigh Adell

Armenta, Kelly Lynne

Gorombei, Deborah A

Neff, Sanna

Swope, Amy L