OrganizationActive
Arizona Medical Boutique, LLC
NPI 1548462716 · Public Health or Welfare Agency · Phoenix, AZ
Provider details
- NPI number
- 1548462716
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shuree Oldehoeft, Physician Assistant(480) 766-0550
- License
- 3164 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35017 N 30th Dr
Phoenix, AZ 85086-3224
Phone: (480) 766-0550
Fax: (623) 581-7499
Street-level locationGet directions
Mailing address
35017 N 30th Dr
Phoenix, AZ 85086-3224
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.