# PHOENIX HEALTH PRACTITIONERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205525839
- **Authorized official:** NEHEMIAH ABUGA (OWNER)
- **Authorized official phone:** (480) 450-5020

## Contact information

- **Practice address:** 4222 N 12TH ST STE 200, PHOENIX, AZ 85014-6024
- **Practice address phone:** (602) 795-9223
- **Practice address fax:** (602) 795-9728
- **Mailing address:** 12474 W FOREST PLEASANT PL, PEORIA, AZ 85383-5666
- **Mailing address phone:** (602) 795-9223
- **Mailing address fax:** (602) 795-9728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/03/2024