EL CON HEALTH & WELLNESS CENTER LLC (NPI# 1255714010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255714010 |
| Entity Type | Organization |
| Organization Name | EL CON HEALTH & WELLNESS CENTER LLC |
| Practice Address |
3402 E Broadway Blvd Tucson AZ 85716-5406 |
| Mailing Address |
1402 E Placita Meseta Dorada Oro Valley AZ 85755-8683 |
| Practice Telephone | 5203185515 |
| Practice Fax Number | 5203185518 |
| Mailing Telephone | 5209908382 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | MRS. MENA LATKAS (OWNER) |
| Authorized Official Telephone | 5209908383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 86009009 | AZ | Dietary & Nutritional Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN068985 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3402 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073588703 | Angela Germaine Bevels | Optometrist | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-02-17 |
| 1174085500 | Vitamindrip-tucson LLC | Registered Nurse | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2019-04-04 |
| 1780061853 | Caitlyn Schull | Dietitian, Registered | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2015-04-28 |
| 1225391337 | Jennifer L O'neill | Counselor | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2012-06-22 |
| 1184924847 | Jean Marie Haberman | Physical Therapy Assistant | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2010-10-28 |
| 1356466593 | John Hendrix | Physical Therapist | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2007-03-20 |
| 1184749814 | Mark T Clements | Preventive Medicine | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2007-03-20 |
| 1427145747 | Michael W Couch | Emergency Medicine | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-10-06 |
| 1073588547 | Vicki Kalen | Surgery | 3402 E Broadway Blvd, Tucson, AZ 85716-5406 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780765701 | Nancy Rommel | Nurse Practitioner | 5655 E Grant Rd, Tucson, AZ 85712-2211 | 2006-10-17 |
| 1558379685 | Teresa L Mote | Nurse Practitioner | 5240 E Knight Dr Ste 122, Tucson, AZ 85712-2122 | 2006-08-04 |
| 1235119421 | Kimberly Ann Eckley | Nurse Practitioner | 2055 W Hospital Dr, Suite 115, Tucson, AZ 85704-7892 | 2006-01-23 |
| 1184609182 | Robin L Giles | Nurse Practitioner | 7494 N. La Cholla Blvd., Tucson, AZ 85741 | 2005-12-13 |
| 1043756380 | Erin Bottai | Nurse Practitioner | 6565 E Carondelet Dr, Ste. 300, Tucson, AZ 85710-2157 | 2017-01-10 |
| 1558811471 | Marisa Kaiser | Nurse Practitioner | 2300 N Rosemont Blvd, Tucson, AZ 85712-2139 | 2016-10-04 |
| 1497191761 | Elizabeth A Ramirez | Nurse Practitioner | 225 W Irvington Rd, Tucson, AZ 85714-3054 | 2013-05-14 |
| 1316186398 | Valerie N Crawford | Nurse Practitioner | 6261 N La Cholla Blvd, Ste. 277, Tucson, AZ 85741-3565 | 2009-02-13 |
| 1972629269 | Karrie Ann Cravens | Nurse Practitioner | 140 W Speedway Blvd Ste 100, Tucson, AZ 85705-7687 | 2007-03-21 |
| 1144351800 | Susan Irene Black | Nurse Practitioner | 1224 E Lowell St, Bldg 95, Tucson, AZ 85721-0095 | 2007-03-07 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.