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VEIN ENVY LLC NPI 1225528565


NPI Information

NPI: 1225528565
Provider Name: VEIN ENVY LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
14044 W CAMELBACK RD STE 226
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (623) 233-1050
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VEIN ENVY LLC is a vascular surgery surgery in Litchfield Park, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. VEIN ENVY LLC NPI is 1225528565. The provider is registered as an organization entity type.

The provider's business location address is:

14044 W CAMELBACK RD STE 226
LITCHFIELD PARK, AZ
ZIP 85340-426
Phone: (623) 233-1050
Fax: (623) 248-6952

The provider's authorized official is Amethyst Lafleur .
The authorized official title is Biller/coder/credentialing Spec and has the following contact phone number (623) 233-1050.

The enumeration date for this NPI number is 5/11/2018 and was last updated on 4/22/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty006421ARIZONANo
22086S0129XSurgeryVascular SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147-4987836MEDICAIDARIZONA
2615010283MEDICAIDARIZONA

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

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