WELLNESS FOR LIFE FAMILY PRACTICE NPI 1083263503

NPI Information

NPI: 1083263503
Provider Name: WELLNESS FOR LIFE FAMILY PRACTICE
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
20449 N LAKE PLEASANT RD STE 101
PEORIA, AZ
ZIP 85382
Phone: (623) 322-0099
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WELLNESS FOR LIFE FAMILY PRACTICE is a primary care nurse practitioner in Peoria, AZ. WELLNESS FOR LIFE FAMILY PRACTICE NPI is 1083263503. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20449 N LAKE PLEASANT RD STE 101
PEORIA, AZ
ZIP 85382-707
Phone: (623) 322-0099
Fax: (866) 228-5038

The provider's authorized official is Tonia Lanette Graham .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (623) 322-0099.

The enumeration date for this NPI number is 9/6/2019 and was last updated on 9/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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