PRACTITIONERS WITHOUT WALLS LLC NPI 1063088102

NPI Information

  • NPI: 1063088102
  • Provider Name: PRACTITIONERS WITHOUT WALLS, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 15333 N PIMA RD STE 305
    SCOTTSDALE, AZ
    ZIP 85260
  • Phone: (832) 633-3186

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NPI Details

PRACTITIONERS WITHOUT WALLS, LLC is a primary care nurse practitioner in Scottsdale, AZ. PRACTITIONERS WITHOUT WALLS, LLC NPI is 1063088102. The provider is registered as an organization entity type.

The provider's business location address is:

15333 N PIMA RD STE 305
SCOTTSDALE, AZ
ZIP 85260-717
Phone: (832) 633-3186

The provider's authorized official is Funmi Olukoya .
The authorized official title is Ceo and has the following contact phone number (832) 633-3186.

The enumeration date for this NPI number is 5/30/2021 and was last updated on 1/4/2025.

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
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
2261QM1000XClinic/CenterMigrant HealthNo
3261QR1300XClinic/CenterRural HealthNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5363LP2300XNurse PractitionerPrimary CareYes

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
11629307202OTHERTEXASNPI

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: 11/21/2025

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