Agave Therapeutics PLLC
Clinic/Center, Health Services in Phoenix, Arizona
1215586664- Practice location
- 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789
- Phone
- 708-308-0852
- Fax
- 480-383-6371
- Last updated
- September 9, 2019
Agave Therapeutics PLLC is a healthcare organization based in Phoenix, AZ. The NPI number for Agave Therapeutics PLLC is 1215586664. The current practice location address is 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789 and the office can be reached by phone at 708-308-0852 and by fax at 480-383-6371. The NPI was assigned on September 9, 2019 and the record was last updated in NPPES on September 9, 2019.
●Provider Profile Details
- NPI Number
- 1215586664
- Provider Name
- Agave Therapeutics PLLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Janet Kay Olson, NP · Nurse Practitioner · 708-308-0852
- Enumeration Date
- September 9, 2019
- Last Update Date
- September 9, 2019
- NPI Status
- Active
- Other Names
- Agave Therapeutics (Doing Business As)
◉Business Practice Location Address
- Address
- 11022 S 51ST St Ste 101
Phoenix, AZ 85044-1789 - City
- Phoenix
- State
- Arizona
- ZIP
- 85044-1789
- Country
- US
- Phone Number
- 708-308-0852
- Fax Number
- 480-383-6371
✉Business Mailing Address
- Address
- 11022 S 51ST St Ste 101
Phoenix, AZ 85044-1789 - City
- Phoenix
- State
- AZ
- ZIP
- 85044-1789
- Phone Number
- 708-308-0852
- Fax Number
- 480-383-6371
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Health Services | 261QH0100X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Agave Therapeutics PLLC?
The NPI number of Agave Therapeutics PLLC is 1215586664. It was assigned on September 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Agave Therapeutics PLLC?
Agave Therapeutics PLLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).
Where does Agave Therapeutics PLLC practice?
The practice location is 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789. The office can be reached at 708-308-0852 (phone) or 480-383-6371 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215586664 directly on the NPPES registry website at npiregistry.cms.hhs.gov.