Provider Demographics
NPI:1619786233
Name:NAILIVERY LLC
Entity type:Organization
Organization Name:NAILIVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NAIL TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:CHU
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED MANICURIST
Authorized Official - Phone:602-668-0560
Mailing Address - Street 1:1275 E BELL RD # 120
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-3081
Mailing Address - Country:US
Mailing Address - Phone:602-668-0560
Mailing Address - Fax:
Practice Address - Street 1:1275 E BELL RD # 120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-3081
Practice Address - Country:US
Practice Address - Phone:602-668-0560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty