NPI 1134870595
Happy Skin PLLC
Practice location
- Address
- 3201 W Peoria Ave STE A105, Phoenix, AZ 85029-4609
- Phone
- (602) 837-3376
- Fax
- (949) 955-4657
- Mailing address
- 14030 N 20th St, Phoenix, AZ 85022-4678
Authorised official
- Name
- Samantha Bae Casselman
- Title
- Pnp, Owner
- Phone
- (602) 499-2362
Registered specialties (2)
Pediatric Dermatology Physician
Primary
Pediatrics Physician
Registry record
- NPI
- 1134870595
- Entity type
- Organization
- NPI issued
- 17 Jan 2022
- Record last updated
- 17 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.