Phoenix Provider Services Llc

LBN: Phoenix Provider Services Llc
Phoenix Provider Services Llc is an health care organization with primary practice located at 1509 Dulles Dr , Lafayette LA 70506-3718. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Phoenix Provider Services Llc can be contacted via phone (337) 991-9276, or through Howard, Nicole via phone (337) 991-9276.

Contact Information

Primary practice address
1509 Dulles Dr Lafayette LA 70506-3718
Phone: (337) 991-9276
Fax: (337) 991-9288
Website:
Map and Directions
Authorized official contact:
Name: Howard, Nicole
Phone: (337) 991-9276

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1942672720
LBN Legal business name Phoenix Provider Services Llc
DBA Doing business as
Authorized official Howard, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2015
Last updated Nov 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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