Organization
PASSION HEALTH LLC
Active
Organization
PASSION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS XAVIER CICCIARELLI (ADMINISTRATOR)
(480) 296-5429
Entity
Organization
Contact information
Practice address
2550 W UNION HILLS DR STE 350, PHOENIX, AZ 85027-5187
(480) 296-5429
(480) 900-8525
Mailing address
2550 W UNION HILLS DRIVE, SUITE 350 OFFICE 317B, PHOENIX, AZ 85027-5187
(480) 296-5429
(480) 900-8525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/12/2021
Last updated
06/05/2021
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