PWW HEALTH CENTER LLC NPI 1386070076

NPI Information

NPI: 1386070076
Provider Name: PWW HEALTH CENTER LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3202 E GREENWAY RD
SUITE 1619
PHOENIX, AZ
ZIP 85032
Phone: (602) 482-2282
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PWW HEALTH CENTER LLC is a family nurse practitioner in Phoenix, AZ. PWW HEALTH CENTER LLC NPI is 1386070076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3202 E GREENWAY RD
SUITE 1619
PHOENIX, AZ
ZIP 85032-548
Phone: (602) 482-2282
Fax: (602) 482-2909

The provider's authorized official is Pierce Waychoff .
The authorized official title is Sole Mbr and has the following contact phone number (602) 482-2282.

The enumeration date for this NPI number is 9/25/2013 and was last updated on 5/22/2015.

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	171M00000X	Case Manager/Care Coordinator				No
2	363LF0000X	Nurse Practitioner	Family			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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