Provider Demographics
NPI:1821597790
Name:TOTAL CARE AND MORE
Entity Type:Organization
Organization Name:TOTAL CARE AND MORE
Other - Org Name:TOTAL CARE AND MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:623-363-7352
Mailing Address - Street 1:7440 W CACTUS RD
Mailing Address - Street 2:A-8
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-9535
Mailing Address - Country:US
Mailing Address - Phone:623-363-7352
Mailing Address - Fax:
Practice Address - Street 1:7440 W CACTUS RD
Practice Address - Street 2:A-8
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-9535
Practice Address - Country:US
Practice Address - Phone:623-363-7352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3890363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty