Provider Demographics
NPI:1679182745
Name:A NOD TO VETERANS LLC
Entity Type:Organization
Organization Name:A NOD TO VETERANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:JO
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:480-452-6032
Mailing Address - Street 1:2436 S LENNOX
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-6663
Mailing Address - Country:US
Mailing Address - Phone:480-317-7255
Mailing Address - Fax:
Practice Address - Street 1:2436 S LENNOX
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-6663
Practice Address - Country:US
Practice Address - Phone:480-317-7255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health