Provider Demographics
NPI:1841801735
Name:USAHOLISTICS
Entity Type:Organization
Organization Name:USAHOLISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MEDICAL PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PREVETTE
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:602-316-1145
Mailing Address - Street 1:6614 E ASTER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4549
Mailing Address - Country:US
Mailing Address - Phone:623-255-0136
Mailing Address - Fax:
Practice Address - Street 1:6614 E ASTER DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4549
Practice Address - Country:US
Practice Address - Phone:623-255-0136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty