I WANT TO BE HEALTHY LLC NPI 1538533013

NPI Information

NPI: 1538533013
Provider Name: I WANT TO BE HEALTHY LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
18247 N TOYA ST
MARICOPA, AZ
ZIP 85138
Phone: (832) 964-4022
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I WANT TO BE HEALTHY LLC is a psychiatric/mental health nurse practitioner in Maricopa, AZ. I WANT TO BE HEALTHY LLC NPI is 1538533013. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18247 N TOYA ST
MARICOPA, AZ
ZIP 85138-905
Phone: (832) 964-4022
Fax: (347) 960-4805

The provider's authorized official is Luchia Lynnette Young .
The authorized official title is Provider and has the following contact phone number (832) 964-4022.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 10/8/2020.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	363LF0000X	Nurse Practitioner	Family	AP3446	ARIZONA	No
3	363LF0000X	Nurse Practitioner	Family			No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP5602	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	Z184231	OTHER	ARIZONA	MEDICARE PTAN

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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