Healthcare Provider Details

I. General information

NPI: 1780299081
Provider Name (Legal Business Name): ASK ALLIANCE HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6751 N SUNSET BLVD STE 320
GLENDALE AZ
85305-3155
US

IV. Provider business mailing address

18396 W MOUNTAIN SKY AVE
GOODYEAR AZ
85338-5698
US

V. Phone/Fax

Practice location:
  • Phone: 623-257-2200
  • Fax: 623-257-2300
Mailing address:
  • Phone: 623-257-2200
  • Fax: 623-257-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ODILIA S KWATENG
Title or Position: FNP
Credential: DNP
Phone: 623-385-2064