Provider Demographics
NPI:1811532633
Name:SUN COUNTRY WELLNESS LLC
Entity type:Organization
Organization Name:SUN COUNTRY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GARRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-404-6535
Mailing Address - Street 1:16033 W GOLD BELL RD
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8435
Mailing Address - Country:US
Mailing Address - Phone:520-404-6535
Mailing Address - Fax:480-658-2835
Practice Address - Street 1:16033 W GOLD BELL RD
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653-8435
Practice Address - Country:US
Practice Address - Phone:520-404-6535
Practice Address - Fax:480-658-2835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty