Organization
BACK TO BASICS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL BRAAT (OWNER)
(928) 263-8343
Entity
Organization
Contact information
Practice address
15553 E THISTLE DR, FOUNTAIN HILLS, AZ 85268-4340
(928) 263-8343
Mailing address
15553 E THISTLE DR, FOUNTAIN HILLS, AZ 85268-4340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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