| Synovation Integrated Partners, Llc | |
|
3707 E Southern Ave Ste 2053 Mesa AZ 85206-6217 | |
| (602) 888-1447 | |
| (480) 672-2828 |
| Full Name | Synovation Integrated Partners, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3707 E Southern Ave Ste 2053, Mesa, Arizona |
| Authorized Official Name and Position | Carese Lewis (MANAGING MEMBER) |
| Authorized Official Contact | 6028881447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synovation Integrated Partners, Llc Po Box 2522 Chandler AZ 85244-2522 Ph: (602) 888-1447 | Synovation Integrated Partners, Llc 3707 E Southern Ave Ste 2053 Mesa AZ 85206-6217 Ph: (602) 888-1447 |
| NPI Number | 1013565548 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 6103254347 |
|---|---|
| Medicare Enrollment ID | O20200321000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013565548 | NPI | - | NPPES |
| Provider Name | Preston Strebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584406 PECOS PAC ID: 8820400484 Enrollment ID: I20201224000039 |
| Provider Name | Shavaun J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225624729 PECOS PAC ID: 7113320177 Enrollment ID: I20210728001658 |
| Provider Name | Simisola Asekun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386380608 PECOS PAC ID: 9032587738 Enrollment ID: I20230512001752 |
| Provider Name | April Aranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346023090 PECOS PAC ID: 4486000270 Enrollment ID: I20231031001590 |
| Provider Name | Laura Dawn Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639877640 PECOS PAC ID: 2769839265 Enrollment ID: I20231106000506 |
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