CANYON HEALLTH LLC


Address: 1011 N Craycroft Rd, Suite 460, Tucson, AZ 85711-7309
Phone: 5203267246

CANYON HEALLTH LLC (NPI# 1932445194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932445194
Entity Type Organization
Organization Name CANYON HEALLTH LLC
Practice Address 1011 N Craycroft Rd
Suite 460
Tucson
AZ 85711-7309
Practice Telephone 5203267246
Mailing Telephone 5203267246
Enumeration Date 2012-12-17
Last Update Date 2012-12-17
Authorized Official Name RACHELLE WOLTER (OWNER)
Authorized Official Telephone 5203267246
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1011 N CRAYCROFT RD
SUITE 460
City TUCSON
State AZ
Zip Code 85711-7309

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85711

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Dataset Information

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.

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