Organization · Type 2 NPI
Native Rising of Arizona LLC
Clinic/Center · Phoenix, AZ
NPI number
1417679648
Active
Practice location
1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478
Mailing address
3420 E Shea Blvd Ste 200
Phoenix, AZ 85028-3348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1417679648
Native Rising of Arizona LLC's National Provider Identifier is 1417679648, issued on Sep 14, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 14, 2022.