Organization
VANISH PAIN & ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA STEWARD NP-C (NURSE PRACTITIONER/ OWNER)
(602) 576-6770
Entity
Organization
Contact information
Practice address
207 W CLARENDON AVE STE 3, PHOENIX, AZ 85013-3447
(602) 576-6770
(602) 535-4859
Mailing address
6807 W CARTER RD, LAVEEN, AZ 85339-7051
(602) 576-6770
(602) 535-4859
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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