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Contact Information

ADVANCED WOUND CARE OF ARIZONA PLLC
3667 REFLECTION DR
PRESCOTT, AZ86305-7188
 Phone: 928-530-3230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED WOUND CARE OF ARIZONA PLLC

NPI # 1720839665
LBN Legal business name ADVANCED WOUND CARE OF ARIZONA PLLC
Authorized official RON OLSEN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2024
Last updated 04/30/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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