Provider Demographics
NPI:1831376128
Name:HEALTH PARTNERS PLUS LLC
Entity type:Organization
Organization Name:HEALTH PARTNERS PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:POLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN/FNP, CRNFA
Authorized Official - Phone:623-584-5626
Mailing Address - Street 1:20165 N 67TH AVE STE 122A
Mailing Address - Street 2:PMB 147
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7155
Mailing Address - Country:US
Mailing Address - Phone:623-584-5626
Mailing Address - Fax:
Practice Address - Street 1:20165 N 67TH AVE STE 122A
Practice Address - Street 2:PMB 147
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7155
Practice Address - Country:US
Practice Address - Phone:623-584-5626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1912990094OtherAHCCCS
AZP0185990OtherBCBS OUT OF AREA
AZ5124334OtherAETNA
AZ730511OtherUNITED HEALTHCARE
AZ2Z3248OtherHEALTHNET
Z82582Medicare PIN
AZ1912990094OtherAHCCCS
AZ730511OtherUNITED HEALTHCARE
AZQ20920Medicare UPIN
AZ20WCLCJ01Medicare PIN