IDEFY MEDICAL AESTHETICS LLC NPI 1649796343

NPI Information

NPI: 1649796343
Provider Name: IDEFY MEDICAL AESTHETICS LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1324 N FARRELL CT STE 109
GILBERT, AZ
ZIP 85233
Phone: (480) 414-8941
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IDEFY MEDICAL AESTHETICS LLC is a family nurse practitioner in Gilbert, AZ. IDEFY MEDICAL AESTHETICS LLC NPI is 1649796343. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1324 N FARRELL CT STE 109
GILBERT, AZ
ZIP 85233-945
Phone: (480) 414-8941

The provider's authorized official is Bethany Lynn Jameson .
The authorized official title is Owner/ceo and has the following contact phone number (480) 414-8941.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 10/8/2023.

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	AP10272	ARIZONA	Yes

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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