Wellcare, Llc is a Primary Care in Glendale, Arizona. Wellcare, Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Wellcare, Llc is 1366469140. The last update date is 2020-08-22.
Wellcare, Llc's current location address is 18275 N 59th Ave Ste 138, Glendale, Arizona. You can contact this provider via phone number 6025640078 and fax number 6025641154. The mailing address for Wellcare, Llc is 18275 N 59th Ave Ste 138, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellcare, Llc |
|---|---|
| Address | 18275 N 59th Ave Ste 138, Glendale, Arizona |
| Phone Number | 6025640078 |
| Fax Number | 6025641154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sebade Derek |
| Credentials | ANP-C |
| Telephone Number | 6025640078 |
NPI Number Detail
| NPI Number | 1366469140 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18275 N 59th Ave Ste 138 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853081253 |
| Phone Number | 6025640078 |
| Fax Number | 6025641154 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | 82334 |
|
Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61944 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wellcare, Llc by the Centers for Medicare & Medicaid Services?
The Wellcare, Llc has been assigned the NPI (National Provider Identifier) 1366469140. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Wellcare, Llc is physically located?
The Wellcare, Llc is physically situated at the following address: 18275 N 59Th Ave Ste 138, Glendale, AZ, 853081253.
What is Wellcare, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wellcare, Llc's area of specialization is Primary Care, and the corresponding taxonomy code that categorizes this field of practice is 363Lp2300X.
On what date was the 1366469140 assigned to Wellcare, Llc?
The Wellcare, Llc was issued its 1366469140 on 2006-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Wellcare, Llc's details last updated?
The information pertaining to the Wellcare, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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