Acacia S Healthcare PLLC
Nurse Practitioner, Family in Surprise, AZ. Organization (NPI-2).
NPI number1720725625
StatusActive
Last updated in NPPESAug 7, 2026
Details
- NPI
- 1720725625
- Entity type
- Organization (NPI-2)
- Legal business name
- Acacia S Healthcare PLLC
- Organization subpart
- No
- Enumeration date
- May 12, 2022
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
23864 N 166th LnSurprise, AZ 85387-1460
Phone 609-364-4028
Mailing address
23864 N 166th LnSurprise, AZ 85387-1460
Phone 609-364-4028 · Fax 602-322-9817
Authorized official
Janet D Tate-Brown
Nurse Practitioner
6093644028
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