MEDICARE: HEALTH CARE SOLUTIONS CENTERS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1770600108	AZ

General Provider Information

NPI Number	:	1255777355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE SOLUTIONS CENTERS, LLC

Provider Business Mailing Address
First Line	:	4831 N 11TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-3622
Country	:	US
Telephone Number	:	602-424-2101
Fax Number	:	602-424-2103

Provider Business Practice Location Address
First Line	:	4831 N 11TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-3622
Country	:	US
Telephone Number	:	602-424-2101
Fax Number	:	602-424-2103

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	FRANCES J DUCAR
Credential	:	FNP-C,MSN
Telephone Number	:	602-424-2101

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/15/2013

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