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General NPI Number Information
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NPI Number | 1952200578
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Entity Type | Organization
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Legal Business Name | MIDNIGHT OASIS
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 251 W MAIN ST STE 3
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City | MESA
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State | AZ
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Zip | 85201-7311
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Country | US
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Telephone | 480-409-8065
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Fax | 480-409-8749
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | HIGLEY
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State | AZ
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Zip | 85236-0524
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Country | US
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Telephone | 480-409-8065
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Fax | 480-409-8749
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Authorized Official
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Title or Position | OWNER
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Name | TORA GERRICK
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Credential | CNM
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Telephone | 480-409-8065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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