Organization
GATEWAY HEALTH WELLNESS AND AESTHETICS
Active
Organization
GATEWAY HEALTH WELLNESS AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANSY M HARRIS-LANE NP (OWNER/PROVIDER)
(973) 731-6253
Entity
Organization
Contact information
Practice address
6000 S MCCLINTOCK DR STE A&B, TEMPE, AZ 85283-3266
(973) 731-6253
Mailing address
7512 E CLINTON ST, SCOTTSDALE, AZ 85260-6446
(973) 731-6253
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/06/2024
Last updated
09/16/2024
Update your record
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