EL CON HEALTH & WELLNESS CENTER LLC NPI 1255714010

NPI Information

NPI: 1255714010
Provider Name: EL CON HEALTH & WELLNESS CENTER LLC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

CLIA Number: 03D2104457

Address:
3402 E BROADWAY BLVD
TUCSON, AZ
ZIP 85716
Phone: (520) 318-5515
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EL CON HEALTH & WELLNESS CENTER LLC is an obstetrics and gynecology nurse practitioner in Tucson, AZ. EL CON HEALTH & WELLNESS CENTER LLC NPI is 1255714010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3402 E BROADWAY BLVD
TUCSON, AZ
ZIP 85716-406
Phone: (520) 318-5515
Fax: (520) 318-5518

The provider's authorized official is Mena Latkas .
The authorized official title is Owner and has the following contact phone number (520) 990-8383.

The CLIA number assigned to this NPI record is 03D2104457 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/29/2015 and was last updated on 5/11/2016.

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	133V00000X	Dietitian, Registered		86009009	ARIZONA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	RN068985	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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