D&A MOBILE HEALTHCARE LLC NPI 1467076455

NPI Information

NPI: 1467076455
Provider Name: D&A MOBILE HEALTHCARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
18444 N 25TH AVE STE 420
PHOENIX, AZ
ZIP 85023
Phone: (602) 962-7234
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D&A MOBILE HEALTHCARE LLC is a family nurse practitioner in Phoenix, AZ. D&A MOBILE HEALTHCARE LLC NPI is 1467076455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18444 N 25TH AVE STE 420
PHOENIX, AZ
ZIP 85023-268
Phone: (602) 962-7234
Fax: (602) 962-7235

The provider's authorized official is Annie Paige .
The authorized official title is Member/provider and has the following contact phone number (602) 962-7234.

The enumeration date for this NPI number is 6/4/2020 and was last updated on 9/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	469714	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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