Provider Demographics
NPI:1861076333
Name:TTK WELLNESS LLC
Entity type:Organization
Organization Name:TTK WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TASIA
Authorized Official - Middle Name:TRIVISON
Authorized Official - Last Name:KURLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:480-370-8789
Mailing Address - Street 1:9495 E SAN SALVADOR DR STE 500
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5539
Mailing Address - Country:US
Mailing Address - Phone:480-370-8789
Mailing Address - Fax:
Practice Address - Street 1:9495 E SAN SALVADOR DR STE 500
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5539
Practice Address - Country:US
Practice Address - Phone:480-370-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty