NPI Profile for PRACTITIONERS WITHOUT WALLS LLC in SCOTTSDALE, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X | |||
Family Planning, Non-Surgical |
261QF0050X | |||
Migrant Health |
261QM1000X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1063088102 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/30/2021 | |
| Last updated | 01/04/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PRACTITIONERS WITHOUT WALLS, LLC
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