NUDERM TREATMENT CENTER LLC NPI 1427309350

NPI Information

  • NPI: 1427309350
  • Provider Name: NUDERM TREATMENT CENTER LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1840 MESQUITE AVE
    SUITE B
    LAKE HAVASU CITY, AZ
    ZIP 86403
  • Phone: (928) 453-7546

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NPI Details

NUDERM TREATMENT CENTER LLC is a family nurse practitioner in Lake Havasu City, AZ. NUDERM TREATMENT CENTER LLC NPI is 1427309350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1840 MESQUITE AVE
SUITE B
LAKE HAVASU CITY, AZ
ZIP 86403-771
Phone: (928) 453-7546
Fax: (928) 453-3660

The provider's authorized official is Joann Eastman .
The authorized official title is Owner/president and has the following contact phone number (928) 453-7546.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 8/3/2016.

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
1363LF0000XNurse PractitionerFamilyAP8759ARIZONAYes

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: 11/21/2025

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