Basic Information
Provider Information
NPI: 1144711151
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APAP
FirstName: JOSEPH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18444 N 25TH AVE STE 310
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850231266
CountryCode: US
TelephoneNumber: 8669742673
FaxNumber: 8669392673
Practice Location
Address1: 9305 W THOMAS RD STE 305
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850373366
CountryCode: US
TelephoneNumber: 8669742673
FaxNumber: 8669392673
Other Information
ProviderEnumerationDate: 05/24/2018
LastUpdateDate: 10/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN168621AZN Nursing Service ProvidersRegistered Nurse 
363LA2100XAP11549AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


Home