| Washington Wellness | |
|
2730 W Agua Fria Fwy Ste 104 Phoenix AZ 85027-7202 | |
| (623) 434-6694 | |
| Not Available |
| Full Name | Washington Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2730 W Agua Fria Fwy Ste 104, Phoenix, Arizona |
| Authorized Official Name and Position | Carmen R Washington (OWNER/CEO / PROVIDER) |
| Authorized Official Contact | 6234346698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Wellness 2730 W Agua Fria Fwy Ste 104 Phoenix AZ 85027-7202 Ph: (623) 434-6698 | Washington Wellness 2730 W Agua Fria Fwy Ste 104 Phoenix AZ 85027-7202 Ph: (623) 434-6694 |
| NPI Number | 1770264715 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 6507213154 |
|---|---|
| Medicare Enrollment ID | O20231103002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770264715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carmen R Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740513316 PECOS PAC ID: 5597804971 Enrollment ID: I20091124000253 |
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