Healthcare Provider Details

I. General information

NPI: 1700696077
Provider Name (Legal Business Name): SPECTRUM HEMORRHOID SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4143 N 16TH ST
PHOENIX AZ
85016-5351
US

IV. Provider business mailing address

4143 N 16TH ST UNIT 5
PHOENIX AZ
85016-5351
US

V. Phone/Fax

Practice location:
  • Phone: 602-517-0321
  • Fax:
Mailing address:
  • Phone: 602-517-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ANN ZWICK
Title or Position: OWNER
Credential: FNP
Phone: 602-517-0321