Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ab Boutique Medicine LLC

Organization Clinic/Center · NPI 1285414888

Ab Boutique Medicine LLC is a Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Phone: (512) 203-0413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1285414888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Benninghoff — Owner · (512) 203-0413
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address20 E Thomas Rd Ste 2200, Phoenix, AZ 85012-3133

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