Healthcare Provider Details

I. General information

NPI: 1700207412
Provider Name (Legal Business Name): FIRST CHOICE ASSISTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 12/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S VAL VISTA DR SUITE A3-163
GILBERT AZ
85296-1374
US

IV. Provider business mailing address

70 S VAL VISTA DR SUITE A3-163
GILBERT AZ
85296-1374
US

V. Phone/Fax

Practice location:
  • Phone: 480-266-4260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN152804
License Number StateAZ

VIII. Authorized Official

Name: NIGEL THOMSON
Title or Position: R.N.F.A.
Credential:
Phone: 480-266-4260