NPI 1366818189

Azul Cossart

Organisation Private Vehicle Phoenix, AZ

Practice location

Address: 1905 W Las Palmaritas Dr 268, Phoenix, AZ 85021-5000
Phone: (602) 525-7691
Mailing address: 1905 W Las Palmaritas Drive 268, Phoenix, AZ 85021

Authorised official

Name: Azul Ezzette Cossart
Title: Non Medical Caregiver
Phone: (602) 525-7691

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence D01594471 (AZ)

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Registry record

NPI: 1366818189
Entity type: Organization
NPI issued: 16 Aug 2015
Record last updated: 19 Aug 2015

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.