VALLEY INTEGRATED WELLNESS LLC NPI 1477920064

NPI Information

  • NPI: 1477920064
  • Provider Name: VALLEY INTEGRATED WELLNESS LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 21585 N. 77TH AVENUE
    SUITE 1500
    PEORIA, AZ
    ZIP 85382
  • Phone: (623) 476-5227

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NPI Details

VALLEY INTEGRATED WELLNESS LLC is a family nurse practitioner in Peoria, AZ. VALLEY INTEGRATED WELLNESS LLC NPI is 1477920064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21585 N. 77TH AVENUE
SUITE 1500
PEORIA, AZ
ZIP 85382
Phone: (623) 476-5227
Fax: (623) 476-8379

The provider's authorized official is Sandra L. Decarlo .
The authorized official title is Owner and has the following contact phone number (623) 476-5227.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 10/12/2015.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z181136MEDICARE PINARIZONA

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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