MEDICARE: HEALTHSIGNAL PARTNERS, LLC

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
1	363LG0600X	Gerontology Nurse Practitioner

General Provider Information

NPI Number	:	1689044711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHSIGNAL PARTNERS, LLC

Provider Business Mailing Address
First Line	:	21045 N 9TH PL
Second Line	:	SUITE 205
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5634
Country	:	US
Telephone Number	:	866-465-4881
Fax Number	:

Provider Business Practice Location Address
First Line	:	21045 N 9TH PL
Second Line	:	SUITE 205
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5634
Country	:	US
Telephone Number	:	866-465-4881
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARJORIE A GREEN
Credential	:
Telephone Number	:	866-465-4881

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	04/01/2016

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