SearchArizona2355S0801X

Annalysse Bacon

NPI 1700755444 · on the registry since 2025

Practice

Address
2200 W Maya Way
Phoenix, AZ 85085
Phone
(623) 445-8200
Clinicians at this address
4

Additional practice sites

  • 35959 N 7th Ave, Phoenix, AZ

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona