SPECIALITY CUSTOM CARE LLC NPI 1063927044

NPI Information

NPI: 1063927044
Provider Name: SPECIALITY CUSTOM CARE, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
2343 W SHACKLETON DR
ANTHEM, AZ
ZIP 85086
Phone: (216) 470-1069
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SPECIALITY CUSTOM CARE, LLC is an adult health nurse practitioner in Anthem, AZ. SPECIALITY CUSTOM CARE, LLC NPI is 1063927044. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2343 W SHACKLETON DR
ANTHEM, AZ
ZIP 85086-345
Phone: (216) 470-1069

The provider's authorized official is Linda Alberino-craig .
The authorized official title is Owner and has the following contact phone number (216) 470-1069.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.

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	363LA2200X	Nurse Practitioner	Adult Health	AP-3689	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: 11/14/2023

NPI Synchronization or Removal

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