Provider Demographics
NPI:1780299081
Name:ASK ALLIANCE HEALTHCARE, PLLC
Entity type:Organization
Organization Name:ASK ALLIANCE HEALTHCARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:DR
Authorized Official - First Name:ODILIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KWATENG
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:623-385-2064
Mailing Address - Street 1:18396 W MOUNTAIN SKY AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5698
Mailing Address - Country:US
Mailing Address - Phone:623-257-2200
Mailing Address - Fax:623-257-2300
Practice Address - Street 1:6751 N SUNSET BLVD STE 320
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-3155
Practice Address - Country:US
Practice Address - Phone:623-257-2200
Practice Address - Fax:623-257-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty