Healthcare Provider Details

I. General information

NPI: 1902427735
Provider Name (Legal Business Name): SOLIZ HEALTHCARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2020
Last Update Date: 09/10/2021
Certification Date: 09/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16421 N TATUM BLVD STE 206
PHOENIX AZ
85032-3457
US

IV. Provider business mailing address

16421 N TATUM BLVD STE 206
PHOENIX AZ
85032-3457
US

V. Phone/Fax

Practice location:
  • Phone: 602-325-5880
  • Fax: 602-325-5879
Mailing address:
  • Phone: 602-325-5880
  • Fax: 602-325-5879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. FLOR SOLIS
Title or Position: ACNP
Credential: NP
Phone: 602-335-9961