Provider Demographics
NPI:1235707910
Name:UNITY HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:UNITY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:IDEMUDIA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:602-327-6604
Mailing Address - Street 1:17425 W HOLLAND LN # SURPRISE
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-7865
Mailing Address - Country:US
Mailing Address - Phone:602-327-6604
Mailing Address - Fax:
Practice Address - Street 1:12630 N 103RD AVE # 211-212
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3423
Practice Address - Country:US
Practice Address - Phone:602-598-0753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty