GEOWAY LLC NPI 1598204125

NPI Information

  • NPI: 1598204125
  • Provider Name: GEOWAY LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: A NEW CREATION CLINIC AND MEDI-SPA
  • CLIA Number: 03D1028103
  • Address: 1801 W INA RD
    TUCSON, AZ
    ZIP 85704
  • Phone: (520) 293-1117

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NPI Details

GEOWAY LLC is a family nurse practitioner in Tucson, AZ. GEOWAY LLC NPI is 1598204125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A New Creation Clinic And Medi-spa.

The provider's business location address is:

1801 W INA RD
TUCSON, AZ
ZIP 85704-277
Phone: (520) 293-1117
Fax: (520) 293-7701

The provider's authorized official is Cheryl Louise Abraham .
The authorized official title is Provider and has the following contact phone number (520) 293-1117.

The CLIA number assigned to this NPI record is 03D1028103 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/15/2017 and was last updated on 2/21/2024.

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 PractitionerFamilyYes

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: 3/30/2025

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