ABUNDANT WELLNESS AND MEDSPA NPI 1740871599

NPI Information

NPI: 1740871599
Provider Name: ABUNDANT WELLNESS AND MEDSPA
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 03D2221502

Address:
9700 N 91ST ST STE A115
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 330-6537
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ABUNDANT WELLNESS AND MEDSPA is an adult health nurse practitioner in Scottsdale, AZ. ABUNDANT WELLNESS AND MEDSPA NPI is 1740871599. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9700 N 91ST ST STE A115
SCOTTSDALE, AZ
ZIP 85258-036
Phone: (480) 330-6537

The provider's authorized official is Caroline Syowia .
The authorized official title is Manager and has the following contact phone number (480) 330-6537.

The CLIA number assigned to this NPI record is 03D2221502 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2021 and was last updated on 5/23/2021.

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	363LA2200X	Nurse Practitioner	Adult Health			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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