MEDICARE: U2RWORTHIT1 LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084N0400X	Neurology Physician
2	2084P0800X	Psychiatry Physician
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician
4	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1265187900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U2RWORTHIT1 LLC

Provider Business Mailing Address
First Line	:	PO BOX 96294
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6294
Country	:	US
Telephone Number	:	520-207-1585
Fax Number	:	520-616-2656

Provider Business Practice Location Address
First Line	:	6612 E CARONDELET DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2119
Country	:	US
Telephone Number	:	520-207-1585
Fax Number	:	520-616-2656

Authorized Official
Title or Position	:	OWNDER
Name	:	KERRI A AKERS
Credential	:	NP
Telephone Number	:	520-395-6633

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	01/30/2026

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