Organization · Type 2 NPI

Alliance With the Covenant of the Trinity Arizona Inc

Gerontology Nurse Practitioner · Phoenix, AZ

NPI number 1013552124 Active

Practice location

2 N Central Ave Fl 18
Phoenix, AZ 85004-2322

Mailing address

11245 Delano St
North Hollywood, CA 91606-4219

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNone listed

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1013552124

Alliance With the Covenant of the Trinity Arizona Inc's National Provider Identifier is 1013552124, issued on Nov 12, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 12, 2019.