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NUDERM TREATMENT CENTER LLC
NPI 1427309350
Nurse Practitioner - Family in Lake Havasu City, AZ

Active since October 02, 2012
1840 MESQUITE AVE, SUITE B, LAKE HAVASU CITY, AZ 86403(928) 453-7546(928) 453-3660 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nuderm Treatment Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUDERM TREATMENT CENTER LLC (NPI 1427309350) is a healthcare organization registered as a family in Lake Havasu City, Arizona and active in the NPI registry since October 2012. The organization lists Joann Eastman, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1427309350
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNUDERM TREATMENT CENTER LLC
Location Address1840 MESQUITE AVE, SUITE BLake Havasu City, AZ 86403-5771
Mailing Address1840 Mesquite Ave, Suite BLake Havasu City, AZ 86403-5771 · (928) 453-7546 · Fax (928) 453-3660
Phone(928) 453-7546
Fax(928) 453-3660
Organization SubpartNo
Authorized OfficialJoann EastmanOwner/president · (928) 453-7546
Enumeration DateOctober 2, 2012
Last NPPES UpdateAugust 3, 2016
✔ NPI 1427309350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP8759
1840 MESQUITE AVE, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN FRANKLIN LISKA RPH.
Pharmacist
1840 MESQUITE AVE, SUITE E.
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-0106
ANGELO ONG-VELOSO JR. M.D.
Internal Medicine
1840 MESQUITE AVE, STE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-8500
LISKA'S APOTHECARY SHOP, INC.
Pharmacy (Community/Retail Pharmacy)
1840 MESQUITE AVE, SUITE E.
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-0106
ANTHONY ADRIAN LISKA PHARM D.
Pharmacist
1840 MESQUITE AVE, SUITE E.
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-0106
HRMC, LLC
Internal Medicine (Infectious Disease)
1840 MESQUITE AVE, SUITE G
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-1242
THOMAS R WRONA M.D.
Internal Medicine
1840 MESQUITE AVE, STE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-8500
HITENDRA CHAUHAN M.D.
Internal Medicine (Gastroenterology)
1840 MESQUITE AVE, STE. B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-8500
MIDWEST INTERNAL MEDICINE PLLC
Specialist
1840 MESQUITE AVE, SUITE B
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nuderm Treatment Center LLC's NPI number?

The NPI number for Nuderm Treatment Center LLC is 1427309350. It was assigned to this organization in the NPPES registry on October 2, 2012.

Where is Nuderm Treatment Center LLC located?

Nuderm Treatment Center LLC is located at 1840 Mesquite Ave Suite B, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-7546.

What is Nuderm Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nuderm Treatment Center LLC was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.