BODY AND SOUL SOVEREIGNTY UNITED; NPI #1790432680

Contact Information

BODY AND SOUL SOVEREIGNTY UNITED

20655 W LEGEND TRL
BUCKEYE, AZ 85396-1756

Phone: 833-842-5577
Fax: 833-842-5577
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Perinatal	363LP1700X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BODY AND SOUL SOVEREIGNTY UNITED

NPI # 1790432680

LBN Legal business name BODY AND SOUL SOVEREIGNTY UNITED

Authorized official LUANA RODRIGUEZ - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/09/2022

Last updated 03/09/2022 - About 4 years ago

Identifiers

Medicaid

481737

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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BODY AND SOUL SOVEREIGNTY UNITED

Contact Information

Specialty

Perinatal

NPI Profile & details for BODY AND SOUL SOVEREIGNTY UNITED

Reviews for BODY AND SOUL SOVEREIGNTY UNITED