Provider Demographics
NPI:1396038584
Name:PIHMA HEALTH & EDUCATION NETWORK
Entity Type:Organization
Organization Name:PIHMA HEALTH & EDUCATION NETWORK
Other - Org Name:PHOENIX INSTITUTE OF HERBAL MEDICINE & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEMIEC
Authorized Official - Suffix:
Authorized Official - Credentials:JD, LAC
Authorized Official - Phone:602-274-1885
Mailing Address - Street 1:301 E BETHANY HOME RD
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1263
Mailing Address - Country:US
Mailing Address - Phone:602-274-1885
Mailing Address - Fax:602-274-1895
Practice Address - Street 1:301 E BETHANY HOME RD
Practice Address - Street 2:SUITE A-100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1263
Practice Address - Country:US
Practice Address - Phone:602-274-1885
Practice Address - Fax:602-274-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0188171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty