| The Complete Human Care Pllc | |
|
11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 | |
| (510) 529-7768 | |
| Not Available |
| Full Name | The Complete Human Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11201 N Tatum Blvd Ste 300, Phoenix, Arizona |
| Authorized Official Name and Position | Michell Huynh (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 5102396698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Complete Human Care Pllc 11201 N Tatum Blvd Ste 300 Pmb 43481 Phoenix AZ 85028-6039 Ph: (510) 529-7768 | The Complete Human Care Pllc 11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 Ph: (510) 529-7768 |
| NPI Number | 1124731278 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 6204209026 |
|---|---|
| Medicare Enrollment ID | O20230227000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124731278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Nancy A Blum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346351616 PECOS PAC ID: 5395712285 Enrollment ID: I20050311000823 |
| Provider Name | Sarah Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219329 PECOS PAC ID: 1759780950 Enrollment ID: I20230303001567 |
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