Goldtooth, Audrey

Goldtooth, Audrey is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Goldtooth, Audrey can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 200-5383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X 157431 Arizona

Profile Details

NPI number 1194105270
LBN Legal business name Goldtooth, Audrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Jun 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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