EMBRY WOMENS HEALTH LLC NPI 1316356207

NPI Information

NPI: 1316356207
Provider Name: EMBRY WOMENS HEALTH LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 03D2094334

Address:
2204 S DOBSON ROAD
SUITE 203
MESA, AZ
ZIP 85202
Phone: (480) 376-2170
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EMBRY WOMENS HEALTH LLC is a women's health nurse practitioner in Mesa, AZ. EMBRY WOMENS HEALTH LLC NPI is 1316356207. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2204 S DOBSON ROAD
SUITE 203
MESA, AZ
ZIP 85202
Phone: (480) 376-2170
Fax: (480) 699-0056

The provider's authorized official is Joellen B Embry .
The authorized official title is Provider and has the following contact phone number (480) 376-2170.

The CLIA number assigned to this NPI record is 03D2094334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 12/15/2015.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	AP0240	ARIZONA	No
2	363LP2300X	Nurse Practitioner	Primary Care	AP0240	ARIZONA	No
3	363LW0102X	Nurse Practitioner	Women's Health	AP0240	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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