Provider Demographics
NPI:1750444550
Name:INTEGRATED HEALTH LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NASO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, CRNA
Authorized Official - Phone:480-892-9115
Mailing Address - Street 1:15529 E PALISADES BLVD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3509
Mailing Address - Country:US
Mailing Address - Phone:480-892-9115
Mailing Address - Fax:
Practice Address - Street 1:15529 E PALISADES BLVD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3509
Practice Address - Country:US
Practice Address - Phone:480-892-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty