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NIRVANA HOLISTIC HEALTH CENTERS PLLC NPI 1982059853


NPI Information

NPI: 1982059853
Provider Name: NIRVANA HOLISTIC HEALTH CENTERS, PLLC

Doing Business As: NIRVANA HOLISTIC HEALTH CENTERS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
733 E UNIVERSITY DR
SUITE 4
MESA, AZ
ZIP 85203
Phone: (480) 890-3790
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NIRVANA HOLISTIC HEALTH CENTERS, PLLC is a family nurse practitioner in Mesa, AZ. NIRVANA HOLISTIC HEALTH CENTERS, PLLC NPI is 1982059853. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nirvana Holistic Health Centers.

The provider's business location address is:

733 E UNIVERSITY DR
SUITE 4
MESA, AZ
ZIP 85203-965
Phone: (480) 890-3790
Fax: (480) 890-3051

The provider's authorized official is Kendra Alyssa Avant-ortiz .
The authorized official title is Chief Executive Officer and has the following contact phone number (480) 241-3710.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 9/28/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAP4495ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1135547MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.