Your Health And Wellness Pllc | |
3326 N 3rd Ave Ste 201 Phoenix AZ 85013-4336 | |
(602) 625-7944 | |
Not Available |
Full Name | Your Health And Wellness Pllc |
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Speciality | Clinic/Center |
Location | 3326 N 3rd Ave Ste 201, Phoenix, Arizona |
Authorized Official Name and Position | Mark Knoblauch (OWNER) |
Authorized Official Contact | 6026257944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Your Health And Wellness Pllc 3326 N 3rd Ave Ste 201 Phoenix AZ 85013-4336 Ph: (602) 625-7944 | Your Health And Wellness Pllc 3326 N 3rd Ave Ste 201 Phoenix AZ 85013-4336 Ph: (602) 625-7944 |
NPI Number | 1992476543 |
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Provider Enumeration Date | 09/23/2021 |
Last Update Date | 12/20/2023 |
Medicare PECOS PAC ID | 8426434333 |
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Medicare Enrollment ID | O20220929003372 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992476543 | NPI | - | NPPES |
103753 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
Provider Name | John R Aldinger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578072328 PECOS PAC ID: 8729340674 Enrollment ID: I20180313001349 |
Provider Name | Nelson Martin Flores |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669082970 PECOS PAC ID: 7719303080 Enrollment ID: I20200817003657 |
Provider Name | Mark Anthony Knoblauch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356072953 PECOS PAC ID: 9335525245 Enrollment ID: I20220929003560 |
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