Organization
LITTLE SANCTUARY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELLA CORDOVA (MANAGER)
(623) 326-1055
Entity
Organization
Contact information
Practice address
840 W SOUTHERN AVE, MESA, AZ 85210-4901
(480) 572-9759
Mailing address
840 W SOUTHERN AVE, MESA, AZ 85210-4901
(480) 572-9759
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954275
—
AZ
Enumeration date
11/14/2019
Last updated
11/14/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up