Organization · Type 2 NPI
Agave Postpartum Wellness Clinic PLLC
Family Nurse Practitioner · Phoenix, AZ
NPI number
1386210508
Active
Practice location
21725 N 20th Ave, Suite 101-102 #1019
Phoenix, AZ 85027-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1386210508
Agave Postpartum Wellness Clinic PLLC's National Provider Identifier is 1386210508, issued on May 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on May 4, 2022.