Organization · Type 2 NPI
Blue River Health & Wellness, PLLC
Family Nurse Practitioner · Fort Mohave, AZ
NPI number
1356073852
Active
Practice location
1520 E Hammer Ln Ste 104
Fort Mohave, AZ 86426-6665
Mailing address
PO Box 10739
Fort Mohave, AZ 86427-0739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1356073852
Blue River Health & Wellness, PLLC's National Provider Identifier is 1356073852, issued on Jun 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Mohave, AZ. The record was last updated on Jun 24, 2022.