Organization · Type 2 NPI
Speciality Custom Care, LLC
Adult Health Nurse Practitioner · Anthem, AZ
NPI number
1063927044
Active
Practice location
2343 W Shackleton Dr
Anthem, AZ 85086-2345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP-3689 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1063927044
Speciality Custom Care, LLC's National Provider Identifier is 1063927044, issued on Dec 12, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Anthem, AZ. The record was last updated on Dec 12, 2017.