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Body And Soul Sovereignty United
Perinatal Nurse Practitioner in Buckeye, Arizona
NPI 1790432680

Body And Soul Sovereignty United is a Perinatal Nurse Practitioner based in Buckeye, AZ and is specialized in Perinatal. Body And Soul Sovereignty United practices in Buckeye, AZ. The NPI Number for Body And Soul Sovereignty United is 1790432680 and holds a License No. (Arizona).

The current practice location address for Body And Soul Sovereignty United is 20655 W Legend Trl, Buckeye, AZ and can be reached out via phone at 833-842-5577 and via fax at 833-842-5577.

Location: 20655 W Legend Trl, Buckeye, AZ, 85396-1756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790432680
Provider Name
Body And Soul Sovereignty United
Credential
Provider Entity Type
Organization
Address
20655 W Legend Trl, Buckeye, AZ, 85396-1756
Phone Number
833-842-5577
Fax Number
833-842-5577
Provider Enumeration Date
03/09/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
481737 05 AZ
institution
Provider Business Practice Location Address Details
Address
20655 W Legend Trl
City
Buckeye
State
Arizona
Zip
85396-1756
Phone Number
833-842-5577
Fax Number
833-842-5577
person
Provider Business Mailing Address Details
Address
20655 W Legend Trl
City
Buckeye
State
Arizona
Zip
85396-1756
Phone Number
833-842-5577
Fax Number
833-842-5577
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Perinatal
Taxonomy
363LP1700X
License No.
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Definition
Definition to come...
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