Organization · NPI-2

Palliative Connections INC.

Case Manager/Care Coordinator · Tempe, AZ

NPI number1831444652
StatusActive
Last updated in NPPESAug 16, 2012

Details

NPI
1831444652
Entity type
Organization (NPI-2)
Legal business name
Palliative Connections INC.
Organization subpart
No
Enumeration date
Jul 18, 2012
Last updated
Aug 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
164W00000X Licensed Practical Nurse––
163W00000X Registered Nurse––
163WC0400X Registered Nurse, Case Management––
163WG0000X Registered Nurse, General Practice––
163WH0200X Registered Nurse, Home Health––
363L00000X Nurse Practitioner––
363A00000X Physician Assistant––

Practice location

2141 East Broadway Drive
Suite 118
Tempe, AZ 85282-1892

Phone 918-894-3487 · Fax 918-392-4542

Mailing address

3220 S Peoria Ave
Suite 101
Tulsa, OK 74105-2003

Phone 918-894-3487 · Fax 918-392-4542

Authorized official

Roger A Bruhn
Director
9188943487

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