Organization
NEUROPATHY AND PAIN CENTRE OF PRESCOTT LLC
Active
Organization
NEUROPATHY AND PAIN CENTRE OF PRESCOTT LLC
Active
Other names
Energie Health
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MOORE (OWNER)
(928) 458-7343
Entity
Organization
Contact information
Practice address
1000 WILLOW CREEK RD, SUITE D, PRESCOTT, AZ 86301-1645
(928) 458-7343
(928) 257-4422
Mailing address
1000 WILLOW CREEK RD, SUITE D, PRESCOTT, AZ 86301-1645
(928) 458-7343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AP3075
AZ
363LA2200X
Adult Health Nurse Practitioner
AP3075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816045
—
AZ
Enumeration date
04/26/2013
Last updated
03/04/2014
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