Provider Demographics
NPI:1982289617
Name:SANA SANA HEALTHCARE LLC
Entity Type:Organization
Organization Name:SANA SANA HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIJARES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:602-399-3941
Mailing Address - Street 1:1216 S 111TH DR UNIT 1087
Mailing Address - Street 2:
Mailing Address - City:CASHION
Mailing Address - State:AZ
Mailing Address - Zip Code:85329-7074
Mailing Address - Country:US
Mailing Address - Phone:602-399-3941
Mailing Address - Fax:
Practice Address - Street 1:410 E MC 85
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326
Practice Address - Country:US
Practice Address - Phone:602-363-3438
Practice Address - Fax:602-584-3677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty