Phoenix Vascular Access, LLC

NPI #1093415408 in Mesa, Arizona

Provider Information

NPI Number: 1093415408
Entity Type: Organization
Organization Name: Phoenix Vascular Access, LLC
Primary Specialty: Registered Nurse
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 455 N MESA DR STE 16
City: Mesa
State: Arizona
ZIP Code: 85201-5936
Phone: (480) 468-3219

Authorized Official

Name: JOSIE BRANDON JOHN HART
Title: CEO
Phone: (480) 468-3219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Administrator — Administrator	163WA2000X
Specialist	174400000X
Registered Nurse	163W00000X	Primary

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