ESTRELLA FAMILY CARE AND AESTHETICS LLC NPI 1912666868

NPI Information

ESTRELLA FAMILY CARE AND AESTHETICS LLC is a family nurse practitioner in Goodyear, AZ. ESTRELLA FAMILY CARE AND AESTHETICS LLC NPI is 1912666868. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Estrella Family Care And Aesthetics.

The provider's business location address is:

500 N ESTRELLA PKWY STE B2-272
GOODYEAR, AZ
ZIP 85338-135
Phone: (602) 501-2352

The provider's authorized official is Sriram Subramanian .
The authorized official title is Credentialing Manager and has the following contact phone number (480) 773-7322.

The CLIA number assigned to this NPI record is 03D2248522 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 3/14/2022.

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:

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