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NPI 1548025075

OrganizationActive

Fundamentum LLC

NPI 1548025075 · Home Health Registered Nurse · Mesa, AZ

Provider details

NPI number: 1548025075
Entity type: Organization
Primary specialty: Home Health Registered NurseNursing Service Providers
Authorized official: Susan Andazola, Director of Operations

Practice location

5830 E Mckellips Rd Unit 49

Mesa, AZ 85215-2784

Phone: (480) 652-6532

More AZ providers

Mailing address

5830 E Mckellips Rd Unit 49

Mesa, AZ 85215-2784

Registry dates

Enumerated: 2024-02-14
Last updated: 2024-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Fundamentum LLC — NPI 1548025075, Mesa, AZ | NPI Central