Healthcare Provider Details

I. General information

NPI: 1942532189
Provider Name (Legal Business Name): THE ARIZONA PARTNERSHIP FOR IMMUNIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CENTRAL AVE STE 1650
PHOENIX AZ
85012-1906
US

IV. Provider business mailing address

3838 N CENTRAL AVE STE 1650
PHOENIX AZ
85012-1906
US

V. Phone/Fax

Practice location:
  • Phone: 602-288-7572
  • Fax: 602-218-3906
Mailing address:
  • Phone: 602-288-7572
  • Fax: 602-218-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateAZ

VIII. Authorized Official

Name: MS. JAMES WASHINGTON
Title or Position: CEO
Credential:
Phone: 602-288-7566