INNOVATIVE DIABETIC CENTER, LLC

SCOTTSDALE, AZ
NPI1235997602
Entity TypeOrganization
Authorized ContactAMY LORRAINE HUNN
President
480-493-0900
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies133VN1006X Dietitian, Registered, Nutrition, Metabolic
133N00000X Nutritionist
164W00000X Licensed Practical Nurse
261QI0500X Clinic/Center, Infusion Therapy
163WI0500X Registered Nurse, Infusion Therapy
261QM1300X Clinic/Center, Multi-Specialty
163WD0400X Registered Nurse, Diabetes Educator
208VP0000X 
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
363L00000X Nurse Practitioner
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Enumeration Date2024-03-11
Last Update Date2025-09-16
Business Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 480-493-0900
Mailing Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 480-493-0900