MEDICARE: ESTEEM BEHAVIORAL 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1952948911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESTEEM BEHAVIORAL HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	7467 N ORACLE RD STE 131
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6578
Country	:	US
Telephone Number	:	520-395-0814
Fax Number	:	520-844-7005

Provider Business Practice Location Address
First Line	:	7467 N ORACLE RD STE 131
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6578
Country	:	US
Telephone Number	:	520-395-0814
Fax Number	:	520-844-7005

Authorized Official
Title or Position	:	OWNER
Name	:	ABDUL NEGEDU BABA
Credential	:
Telephone Number	:	520-395-0814

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	04/20/2026

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