Organization
ARIZONA STATE UNIVERSITY EMPLOYEE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOL LUOMA (VP)
(480) 965-7955
Entity
Organization
Contact information
Practice address
1492 S. MILL AVENUE, SUITE 105, TEMPE, AZ 85281
(480) 985-1823
(480) 965-0736
Mailing address
1492 S. MILL AVENUE, SUITE 105, TEMPE, AZ 85281
(480) 985-1823
(480) 965-0736
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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