Healthcare Provider Details

I. General information

NPI: 1538791512
Provider Name (Legal Business Name): SILVERLEAF HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20715 N PIMA RD STE 108
SCOTTSDALE AZ
85255-6685
US

IV. Provider business mailing address

11132 E WINCHCOMB DR
SCOTTSDALE AZ
85255-1617
US

V. Phone/Fax

Practice location:
  • Phone: 206-300-8975
  • Fax:
Mailing address:
  • Phone: 206-300-8975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAUREN CASTIGLIA ALBANO
Title or Position: SOLE MEMBER
Credential: FNP-BC
Phone: 206-300-8975