Healthcare Provider Details

I. General information

NPI: 1770009441
Provider Name (Legal Business Name): B2B WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 08/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8753 E BELL RD STE 105
SCOTTSDALE AZ
85260-1339
US

IV. Provider business mailing address

9375 E SHEA BLVD STE 100
SCOTTSDALE AZ
85260-6986
US

V. Phone/Fax

Practice location:
  • Phone: 480-656-1519
  • Fax: 480-444-1407
Mailing address:
  • Phone:
  • Fax: 480-444-1407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORETTA ANN HAYKO
Title or Position: MEDICAL DIRECTOR/FNP-C
Credential: APRN-C
Phone: 480-656-1519