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Organization
FOREVER FAMILY HEALTHCARE LLC
Active
Organization
FOREVER FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONNE AMORETTE HOUSH MSN, NP-C (NURSE PRACTITIONER)
(480) 961-2366
Entity
Organization
Contact information
Practice address
12010 S WARNER ELLIOT LOOP STE 1, PHOENIX, AZ 85044-2731
(480) 961-2366
(480) 961-2367
Mailing address
12010 S WARNER ELLIOT LOOP STE 1A, PHOENIX, AZ 85044-2731
(480) 961-2366
(480) 961-2367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z71307
PTAN
AZ
Enumeration date
12/12/2006
Last updated
11/30/2022
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