CORAESTHETICS PLLC NPI 1346741501

NPI Information

NPI: 1346741501
Provider Name: CORAESTHETICS PLLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2008 E LAGUNA DR
TEMPE, AZ
ZIP 85282
Phone: (480) 307-3497
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CORAESTHETICS PLLC is a surgical physician assistant in Tempe, AZ. CORAESTHETICS PLLC NPI is 1346741501. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2008 E LAGUNA DR
TEMPE, AZ
ZIP 85282
Phone: (480) 307-3497

The provider's authorized official is Jamie Jennette Coracides .
The authorized official title is Member Manager and has the following contact phone number (480) 307-3497.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 7/9/2018.

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	363AS0400X	Physician Assistant	Surgical	4462	ARIZONA	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	4462	OTHER	ARIZONA	PHYSICIAN ASSISTANT LICENCE

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: 4/28/2024

NPI Synchronization or Removal

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