Enroute Provider Services LLC
Enroute Provider Services LLC is a General Practice Physician in Glendale, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17505 N 79th Ave Ste 313AGlendale, AZ 85308-8730
Phone: (623) 225-5875
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1285485920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dunedin Hervias — Founder · (623) 225-5875 |
| NPI enumerated | April 1, 2024 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | 17505 N 79th Ave Ste 313a, Glendale, AZ 85308-8730 |
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