Provider Demographics
NPI:1639382237
Name:HEALTHY LOOKS FOR WOMEN LLC
Entity Type:Organization
Organization Name:HEALTHY LOOKS FOR WOMEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:602-547-1600
Mailing Address - Street 1:6206 W BELL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3750
Mailing Address - Country:US
Mailing Address - Phone:602-547-1600
Mailing Address - Fax:602-547-1622
Practice Address - Street 1:6206 W BELL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3750
Practice Address - Country:US
Practice Address - Phone:602-547-1600
Practice Address - Fax:602-547-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2011-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN041507363LW0102X
AZRN041756363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1962486217OtherNPI
AZ1568446813OtherNPI
AZ77017Medicare PIN
AZ1962486217OtherNPI
AZQ03681Medicare UPIN