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Organization

DIRECT CARE TELEHEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICAELA STREVAY FNP (MANAGER)
(207) 740-3666
Entity
Organization

Contact information

Practice address
27418 N 93RD ST, SCOTTSDALE, AZ 85262-9015
(831) 818-9833
(480) 701-8235
Mailing address
919 N DYSART RD STE F, AVONDALE, AZ 85323-1711
(480) 701-8235
(480) 701-8235

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689284911
NPI
01
1760805384
NPI
01
1770951618
NPI
01
1881970622
NPI
01
1902497373
NPI
01
1972506616
NPI
Enumeration date
02/18/2022
Last updated
12/15/2022
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