Healthcare Provider Details

I. General information

NPI: 1770419798
Provider Name (Legal Business Name): TOME WELLNESS AND AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 N SCOTTSDALE HEALTHCARE DR STE 145
SCOTTSDALE AZ
85255-4136
US

IV. Provider business mailing address

20201 N SCOTTSDALE HEALTHCARE DR STE 145
SCOTTSDALE AZ
85255-4136
US

V. Phone/Fax

Practice location:
  • Phone: 480-904-4439
  • Fax: 480-591-9774
Mailing address:
  • Phone: 480-904-4439
  • Fax: 480-591-9774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GINA TOME
Title or Position: OWNER
Credential: FNP
Phone: 480-748-7788