Healthcare Provider Details

I. General information

NPI: 1235666173
Provider Name (Legal Business Name): NEXT LEVEL CONCIERGE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 N 92ND ST STE 210
SCOTTSDALE AZ
85258-4519
US

IV. Provider business mailing address

10250 N 92ND ST STE 210
SCOTTSDALE AZ
85258-4519
US

V. Phone/Fax

Practice location:
  • Phone: 507-319-4679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIRSTEN SORENSEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-431-1152