Organization
AZ AT HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALAN GREEN FNP-BC (CEO)
(480) 275-2022
Entity
Organization
Contact information
Practice address
12630 N 103RD AVE STE 142, SUN CITY, AZ 85351-3463
(480) 275-2022
(888) 551-6092
Mailing address
12630 N 103RD AVE STE 142, SUN CITY, AZ 85351-3463
(480) 275-2022
(888) 551-6092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN078764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031189
—
AZ
05
—
769044
—
AZ
Enumeration date
07/04/2015
Last updated
02/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us