Provider Demographics
NPI:1023368297
Name:ADULT NP HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ADULT NP HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:480-515-0755
Mailing Address - Street 1:15804 N 104TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1972
Mailing Address - Country:US
Mailing Address - Phone:480-515-0755
Mailing Address - Fax:480-515-0755
Practice Address - Street 1:15804 N 104TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-1972
Practice Address - Country:US
Practice Address - Phone:480-515-0755
Practice Address - Fax:480-515-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP0263363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ830861Medicaid
AZ120896Medicare PIN
AZ830861Medicaid