Provider Demographics
NPI:1225653074
Name:SIGMA HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:SIGMA HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:CAGAMPAN
Authorized Official - Last Name:BUENAVENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:480-620-8839
Mailing Address - Street 1:3317 S. HIGLEY ROAD
Mailing Address - Street 2:STE 114-757
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297
Mailing Address - Country:US
Mailing Address - Phone:480-620-8839
Mailing Address - Fax:270-220-0491
Practice Address - Street 1:3317 S. HIGLEY ROAD
Practice Address - Street 2:STE 114-757
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297
Practice Address - Country:US
Practice Address - Phone:480-620-8839
Practice Address - Fax:270-220-0491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGMA HEALTH AND WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ232458OtherPTAN