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Contact Information

BODY AND SOUL SOVEREIGNTY UNITED
20655 W LEGEND TRL
BUCKEYE, AZ85396-1756
 Phone: 833-842-5577
 Fax: 833-842-5577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Perinatal

363LP1700X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BODY AND SOUL SOVEREIGNTY UNITED · (Female)

NPI # 1790432680
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2022
Last updated 03/09/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 481737
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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