Alliance With The Covenant of The Trinity Arizona Inc
Nurse Practitioner (Gerontology)

Address: 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322
Phone: 2137090777

Alliance With The Covenant of The Trinity Arizona Inc (NPI# 1013552124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013552124
Entity Type Organization
Organization Name ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC
Practice Address 2 N Central Ave Fl 18
Phoenix
AZ 85004-2322
Practice Telephone 2137090777
Mailing Address 11245 Delano St
North Hollywood
CA 91606-4219
Mailing Telephone 2137090777
Authorized Official Name Zandra Gonzales (CFO/COO)
Authorized Official Telephone 2137090777
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-12
Last Update Date 2019-11-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LG0600X Nurse Practitioner · Gerontology Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
ACT Medical Group Arizona Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2 N CENTRAL AVE FL 18
City PHOENIX
State AZ
Zip Code 85004-2322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1770064107 Edward Jude Stein Pharmacist Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 2018-08-23
1740775303 Alexander L. Shaw Dentist 201 N Central Ave. #1490, Phoenix, AZ 85004 2018-06-26
1497267868 Michael Dimoff Registered Nurse 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 2017-10-25
1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
1538537246 Jessica Lindsay Karlson Pharmacist 2302 N Central Ave Ste 7, Phoenix, AZ 85004 2015-09-11
1689059883 Yvette's Hope Foundation Home Health 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 2015-07-29
1881082790 Patricia Russell Specialist/Technologist 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 2014-12-30
1154728954 Healthstat On-site Clinic Polsinelli Phoenix Az Preventive Medicine One East Way Washington, Suite 1200, Phoenix, AZ 85004 2014-11-24
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Competitor

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City PHOENIX
Zip Code 85004

Improve Information

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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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