Provider Demographics
NPI:1669138293
Name:TREATRITE WELLNESS
Entity type:Organization
Organization Name:TREATRITE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARZANO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:480-516-7949
Mailing Address - Street 1:15406 N 50TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1608
Mailing Address - Country:US
Mailing Address - Phone:480-779-0391
Mailing Address - Fax:
Practice Address - Street 1:15406 N 50TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1608
Practice Address - Country:US
Practice Address - Phone:480-779-0391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty