| Bliss Medical Spa And Wellness Pllc | |
|
5710 W Bell Rd Ste 29 Glendale AZ 85308-3805 | |
| (602) 880-8777 | |
| Not Available |
| Full Name | Bliss Medical Spa And Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5710 W Bell Rd Ste 29, Glendale, Arizona |
| Authorized Official Name and Position | Dawn Dewane (OWNER) |
| Authorized Official Contact | 6028808777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Medical Spa And Wellness Pllc 5710 W Bell Rd Ste 29 Glendale AZ 85308-3805 Ph: () - | Bliss Medical Spa And Wellness Pllc 5710 W Bell Rd Ste 29 Glendale AZ 85308-3805 Ph: (602) 880-8777 |
| NPI Number | 1427873835 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 01/05/2025 |
| Medicare PECOS PAC ID | 4183153992 |
|---|---|
| Medicare Enrollment ID | O20250218003575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427873835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dawn M Dewane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932876257 PECOS PAC ID: 5597162776 Enrollment ID: I20210930002829 |
| Provider Name | Irina Khakhanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417617002 PECOS PAC ID: 0941739080 Enrollment ID: I20250220002757 |
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