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

Last updated

May 6, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathi Alvarado

Title

Receptionist

Phone

(520) 751-0100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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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• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• 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.