| Healthy Wings Llc | |
|
2055 E Southern Ave Ste B Tempe AZ 85282-7507 | |
| (520) 477-1815 | |
| (949) 543-2787 |
| Full Name | Healthy Wings Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2055 E Southern Ave Ste B, Tempe, Arizona |
| Authorized Official Name and Position | Jennifer Ann Muhammad (FNP, PMHNP, & PRACTICE DIRECTOR) |
| Authorized Official Contact | 5204771815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Wings Llc 2055 E Southern Ave Ste B Tempe AZ 85282-7507 Ph: (520) 477-1815 | Healthy Wings Llc 2055 E Southern Ave Ste B Tempe AZ 85282-7507 Ph: (520) 477-1815 |
| NPI Number | 1376905786 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 09/17/2023 |
| Certification Date | 09/17/2023 |
| Medicare PECOS PAC ID | 8628364510 |
|---|---|
| Medicare Enrollment ID | O20160831002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376905786 | NPI | - | NPPES |
| Provider Name | Jennifer Ann Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225496060 PECOS PAC ID: 2567751514 Enrollment ID: I20160831002674 |
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