Organization · NPI-2

Healthstyles Southwest, INC.

Registered Nurse · Phoenix, AZ

NPI number1366564452
StatusActive
Last updated in NPPESApr 9, 2008

Details

NPI
1366564452
Entity type
Organization (NPI-2)
Legal business name
Healthstyles Southwest, INC.
Organization subpart
No
Enumeration date
Apr 6, 2007
Last updated
Apr 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse––Yes
246RP1900X Technician, Pathology, Phlebotomy––
2471V0105X Radiologic Technologist, Vascular Sonography––

Other names

  • Bashas' Healthstyles (Other Name)

Practice location

1432 E Northern Ave
Phoenix, AZ 85020-4319

Phone 602-944-9626 · Fax 602-216-7834

Mailing address

1432 E Northern Ave
Phoenix, AZ 85020-4319

Phone 602-944-9626 · Fax 602-216-7834

Authorized official

Irene D Bradt
President
6029449626

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in Phoenix, AZ