Healthcare Provider Details

I. General information

NPI: 1558716761
Provider Name (Legal Business Name): ARLENE URIARTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 W ENCANTO BLVD
PHOENIX AZ
85037-4202
US

IV. Provider business mailing address

9628 W KIRBY AVE
TOLLESON AZ
85353-8562
US

V. Phone/Fax

Practice location:
  • Phone: 623-936-9740
  • Fax:
Mailing address:
  • Phone: 562-413-7198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN197938
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: