Organization · NPI-2

All About Health & Wellness

Family Medicine · Glendale, AZ

NPI number1619406238
StatusActive
Last updated in NPPESJan 18, 2019

Details

NPI
1619406238
Entity type
Organization (NPI-2)
Legal business name
All About Health & Wellness
Organization subpart
No
Enumeration date
Jun 7, 2017
Last updated
Jan 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineAP5166AZYes

Practice location

8608 N 59th Ave Ste B
Glendale, AZ 85302-5404

Phone 602-647-9085 · Fax 602-464-4671

Mailing address

8608 N 59th Ave Ste B
Glendale, AZ 85302-5404

Phone 602-647-9085 · Fax 602-464-4671

Authorized official

Delana Kim Gardner
Family Nurse Practitioner
6026479085

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