SUSAN MARITA NPI 1376090761

NPI Information

NPI: 1376090761
Provider Name: SUSAN MARITA
Classification: Respite Care - 385H00000X
Entity Type: Individual
Address:
7335 E JUNE ST
MESA, AZ
ZIP 85207
Phone: (602) 427-8235
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Susan Marita is a respite care in Mesa, AZ. Susan Marita NPI is 1376090761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7335 E JUNE ST
MESA, AZ
ZIP 85207-959
Phone: (602) 427-8235

The enumeration date for this NPI number is 9/2/2016 and was last updated on 9/2/2016.

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	385H00000X	Respite Care		BH4950	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	BH4950	OTHER	ARIZONA	AZ DHS LICENSE

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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