Organization
LIFESPAN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANARESIA MARIE RICHARD FNP (PRIMARY CARE PROVIDER / OWNER)
(480) 633-3540
Entity
Organization
Contact information
Practice address
690 E WARNER RD, 112, GILBERT, AZ 85296-3054
(480) 633-3540
(480) 633-5605
Mailing address
690 E WARNER RD, SUITE 112, GILBERT, AZ 85296-3054
(480) 633-3540
(480) 633-5605
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP1692
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766777
—
AZ
Enumeration date
05/16/2015
Last updated
05/22/2015
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