Organization
HEALTHFUL HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BLACKMORE APRN (OWNER/ NURSE PRACTITIONER)
(623) 439-5176
Entity
Organization
Contact information
Practice address
14961 W BELL RD STE 100, SURPRISE, AZ 85374-3203
(623) 439-5176
(855) 583-1420
Mailing address
14961 W BELL RD STE 100, SURPRISE, AZ 85374-3203
(623) 606-5524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
10/10/2023
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