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NPI Code Detail

MEDICARE: NEW PATHS TO HEALTHCARE LLC

MEDICARE: NEW PATHS TO HEALTHCARE 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
1363LA2200XAdult Health Nurse PractitionerAP0113AZ

General Provider Information

NPI Number : 1851320048
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW PATHS TO HEALTHCARE LLC
Provider Business Mailing Address
First Line : 13838 S 46TH PL
Second Line : SUITE 340
City : PHOENIX
State : AZ
Zip : 85044-7800
Country : US
Telephone Number : 602-405-6320
Fax Number : 480-705-8848
Provider Business Practice Location Address
First Line : 13838 S 46TH PL
Second Line : SUITE 340
City : PHOENIX
State : AZ
Zip : 85044-7800
Country : US
Telephone Number : 602-405-6320
Fax Number : 480-705-8848
Authorized Official
Title or Position : MEMBER
Name : MRS. AGNES ELIZABETH OBLAS
Credential : ANP-C
Telephone Number : 602-405-6320
Provider Enumeration Date : 07/01/2006
Last Update Date : 10/10/2007

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Directions to “NEW PATHS TO HEALTHCARE LLC ” Practice Location

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