Organization · Type 2 NPI

Innovative Health Care of Havasu LLC

Family Health Clinical Nurse Specialist · Lake Havasu City, AZ

NPI number 1114230893 Active

Practice location

297 Lake Havasu Ave South, Suite 200
Lake Havasu City, AZ 86403

Fax (928) 854-7660

Specialties and licenses

Taxonomy	Code	License
Family Health Clinical Nurse Specialist Primary	364SF0001X	AP3726 (AZ)

Family Health Clinical Nurse Specialist: Definition to come...

About NPI 1114230893

Innovative Health Care of Havasu LLC's National Provider Identifier is 1114230893, issued on Jul 22, 2010. The primary taxonomy on file is Family Health Clinical Nurse Specialist (364SF0001X), and the practice location is in Lake Havasu City, AZ. The record was last updated on May 23, 2018.