AGAVE POSTPARTUM WELLNESS CLINIC PLLC NPI 1386210508

NPI Information

  • NPI: 1386210508
  • Provider Name: AGAVE POSTPARTUM WELLNESS CLINIC PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 21725 N 20TH AVE
    SUITE 101-102 #1019
    PHOENIX, AZ
    ZIP 85027
  • Phone: (602) 384-1648

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NPI Details

AGAVE POSTPARTUM WELLNESS CLINIC PLLC is a family nurse practitioner in Phoenix, AZ. AGAVE POSTPARTUM WELLNESS CLINIC PLLC NPI is 1386210508. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

21725 N 20TH AVE
SUITE 101-102 #1019
PHOENIX, AZ
ZIP 85027-640
Phone: (602) 384-1648

The provider's authorized official is Inty Allen .
The authorized official title is Owner/provider and has the following contact phone number (602) 384-1648.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 5/4/2022.

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
1363LW0102XNurse PractitionerWomen's HealthNo
2363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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