=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467187237
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CURANA HEALTH OF ARIZONA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2022
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13755 N LITCHFIELD RD SUITE 105
-----------------------------------------------------
City | SURPRISE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85379-4288
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-408-0797
-----------------------------------------------------
Fax | 337-943-0846
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5750 JOHNSTON ST STE 205
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70503-5334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-991-9276
-----------------------------------------------------
Fax | 337-943-0846
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR VP OF ADMINISTRATIVE SERVICES
-----------------------------------------------------
Name | NICOLE HOWARD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 337-991-9276
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------