PROACTIVE HEALTHCARE NPI 1407754575

NPI Information

  • NPI: 1407754575
  • Provider Name: PROACTIVE HEALTHCARE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 701 N 44TH ST STE 116
    PHOENIX, AZ
    ZIP 85008
  • Phone: (602) 782-8376

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NPI Details

PROACTIVE HEALTHCARE is a family nurse practitioner in Phoenix, AZ. PROACTIVE HEALTHCARE NPI is 1407754575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 N 44TH ST STE 116
PHOENIX, AZ
ZIP 85008-504
Phone: (602) 782-8376
Fax: (602) 610-8835

The provider's authorized official is Neil Patel .
The authorized official title is Owener and has the following contact phone number (602) 782-8376.

The enumeration date for this NPI number is 10/28/2026 and was last updated on 10/28/2026.

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
1363LF0000XNurse 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

NPI Synchronization or Removal

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