Provider Demographics
NPI:1457173312
Name:NAZ MUA LLC
Entity type:Organization
Organization Name:NAZ MUA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-556-0707
Mailing Address - Street 1:1501 S YALE ST STE 250
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-7336
Mailing Address - Country:US
Mailing Address - Phone:928-556-0707
Mailing Address - Fax:928-250-5337
Practice Address - Street 1:1501 S YALE ST STE 250
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-7336
Practice Address - Country:US
Practice Address - Phone:928-556-0707
Practice Address - Fax:928-250-5337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty