Immune Recovery and Wellness PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN036763 Issued in AZ

Legal business name

IMMUNE RECOVERY AND WELLNESS PC

Practice address

2122 N Craycroft Rd
Suite 112
Tucson, AZ 85712-2849

Phone

(520) 751-0100

Fax

(520) 751-0101

NPI assigned

Nov 10, 2010

Organization subpart

No

Name

Kathi Alvarado

Title

Receptionist

Phone

(520) 751-0100

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2011.

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1265733018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD",
            "address_2": "SUITE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122849",
            "telephone_number": "520-751-0100",
            "fax_number": "520-751-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 N CRAYCROFT RD",
            "address_2": "SUITE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122849",
            "telephone_number": "520-751-0100",
            "fax_number": "520-751-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNE RECOVERY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "520-751-0100"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN036763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tucson, AZ
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.