DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GLOWLINE SISTERS BEAUTY & WELLNESS

MEDICARE: GLOWLINE SISTERS BEAUTY & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN1003XNutrition Support Registered Nurse
2163WL0100XLactation Consultant (Registered Nurse)
3163WP1700XPerinatal Registered Nurse
4163WW0101XAmbulatory Women's Health Care Registered Nurse
5163WI0500XInfusion Therapy Registered Nurse

General Provider Information

NPI Number : 1013885953
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOWLINE SISTERS BEAUTY & WELLNESS
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-733-7879
Fax Number :
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-733-7879
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : ADRIANA ST GERMAIN
Credential : RN
Telephone Number : 623-238-9768
Provider Enumeration Date : 10/23/2025
Last Update Date : 10/23/2025

Similar Medicare Providers

1922891050 — VICTOR ORTEGA PMHNP
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 240-565-1688
Practice Fax: 470-221-1659
1992657258 — DEPENDABLE MENTAL HEALTH CARE
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 240-565-1688
Practice Fax:
1215696836 — DR. JOLENE THWEATT FNP
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 480-857-3187
Practice Fax: 480-857-3467
1578414595 — EMILEE WAYNE ND PLC
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 480-648-2353
Practice Fax: 866-561-0206
1770614307 — DR. TY M TALLMAN N.M.D.
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 480-219-2624
Practice Fax: 888-210-1237
1912153222 — SANDEEP MALLANAGOUDA PATIL M.D
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 602-525-5674
Practice Fax:
1902316235 — DR. EMILEE WAYNE NMD
Practice Location Address:
1910 S STAPLEY DR STE 120
MESA, AZ
85204-6676
Practice Phone: 480-648-2353
Practice Fax: 866-561-0206

Directions to “GLOWLINE SISTERS BEAUTY & WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.