- Practice location
- 20 E Thomas RD Ste 2200, Phoenix, AZ 85012-3133
- Phone
- 512-203-0413
- Fax
- —
- Last updated
- October 2, 2023
Ab Boutique Medicine LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Ab Boutique Medicine LLC is 1285414888. The current practice location address is 20 E Thomas RD Ste 2200, Phoenix, AZ 85012-3133 and the office can be reached by phone at 512-203-0413. The NPI was assigned on October 2, 2023 and the record was last updated in NPPES on October 2, 2023.
●Provider Profile Details
- NPI Number
- 1285414888
- Provider Name
- Ab Boutique Medicine LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Chad Benninghoff · Owner · 512-203-0413
- Enumeration Date
- October 2, 2023
- Last Update Date
- October 2, 2023
- Certification Date
- October 2, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 20 E Thomas RD Ste 2200
Phoenix, AZ 85012-3133 - City
- Phoenix
- State
- Arizona
- ZIP
- 85012-3133
- Country
- US
- Phone Number
- 512-203-0413
✉Business Mailing Address
- Address
- 20 E Thomas RD Ste 2200
Phoenix, AZ 85012-3133 - City
- Phoenix
- State
- AZ
- ZIP
- 85012-3133
- Phone Number
- 512-203-0413
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner 193200000X - Multi-Specialty Group | 363L00000X | No | — | — |
| Clinic/Center | 261Q00000X | 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 Ab Boutique Medicine LLC?
The NPI number of Ab Boutique Medicine LLC is 1285414888. It was assigned on October 2, 2023 and is currently active in the NPPES registry.
What is the specialty of Ab Boutique Medicine LLC?
Ab Boutique Medicine LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Ab Boutique Medicine LLC practice?
The practice location is 20 E Thomas RD Ste 2200, Phoenix, AZ 85012-3133. The office can be reached at 512-203-0413 (phone).
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 1285414888 directly on the NPPES registry website at npiregistry.cms.hhs.gov.