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NPI Code Detail

MEDICARE: ASK ALLIANCE HEALTHCARE, PLLC

MEDICARE: ASK ALLIANCE HEALTHCARE, PLLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1780299081
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASK ALLIANCE HEALTHCARE, PLLC
Provider Business Mailing Address
First Line : 18396 W MOUNTAIN SKY AVE
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-5698
Country : US
Telephone Number : 623-257-2200
Fax Number : 623-257-2300
Provider Business Practice Location Address
First Line : 6751 N SUNSET BLVD STE 320
Second Line :
City : GLENDALE
State : AZ
Zip : 85305-3155
Country : US
Telephone Number : 623-257-2200
Fax Number : 623-257-2300
Authorized Official
Title or Position : FNP
Name : DR. ODILIA S KWATENG
Credential : DNP
Telephone Number : 623-385-2064
Provider Enumeration Date : 09/14/2020
Last Update Date : 08/08/2024

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Directions to “ASK ALLIANCE HEALTHCARE, PLLC ” Practice Location

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