INNOVATIVE HEALTH CARE OF HAVASU LLC NPI 1114230893

NPI Information

NPI: 1114230893
Provider Name: INNOVATIVE HEALTH CARE OF HAVASU LLC
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
297 LAKE HAVASU AVE SOUTH
SUITE 200
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-7666
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INNOVATIVE HEALTH CARE OF HAVASU LLC is a family health clinical nurse specialist in Lake Havasu City, AZ. INNOVATIVE HEALTH CARE OF HAVASU LLC NPI is 1114230893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

297 LAKE HAVASU AVE SOUTH
SUITE 200
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 854-7666
Fax: (928) 854-7660

The provider's authorized official is Summer Yvonne Tilgner .
The authorized official title is Owner and has the following contact phone number (928) 854-7666.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 5/23/2018.

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	364SF0001X	Clinical Nurse Specialist	Family Health	AP3726	ARIZONA	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: 4/28/2024

NPI Synchronization or Removal

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