Provider Demographics
NPI:1215460175
Name:ARIZONA HOUSE CALLS
Entity type:Organization
Organization Name:ARIZONA HOUSE CALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:480-299-0372
Mailing Address - Street 1:PO BOX 12304
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-0022
Mailing Address - Country:US
Mailing Address - Phone:480-299-0372
Mailing Address - Fax:480-219-2975
Practice Address - Street 1:5113 S SAN JUAN PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3726
Practice Address - Country:US
Practice Address - Phone:480-299-0372
Practice Address - Fax:480-219-2975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2819363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty