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 |
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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 |
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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 |
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Provider Enumeration Date | 01/04/2023 |
Last Update Date | 10/17/2023 |
Medicare PECOS PAC ID | 6204209026 |
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Medicare Enrollment ID | O20230227000689 |
Identifier | Type | State | Issuer |
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1124731278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Nancy A Blum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346351616 PECOS PAC ID: 5395712285 Enrollment ID: I20050311000823 |
Provider Name | Sarah Barker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780219329 PECOS PAC ID: 1759780950 Enrollment ID: I20230303001567 |
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