Overview
Name: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC
Specialty: Family Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC,LIFESPANN PRIMARY CARE & ESTHETICS,2451 E BASELINE RD STE 310,GILBERT,AZ,852342465,US
Mailing Address: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC,LIFESPANN PRIMARY CARE & ESTHETICS,3954 S WHITMAN CIR,MESA,AZ,852122528,US
Contact #
Practice location phone #: 4803517151
Practice location fax #: 4804990891
Mailing address Phone #: 4803525108
Mailing Address fax #:
Authorized official Name/Telephone #:JENNIFER, VALENCIA, SPANN, CRT, RRT, LE, OWNER/MANAGER 4803517151
Misc
Date NPI was obtained: 09/09/2021
Last data data was updated: 11/08/2021
Insurances: