Organization · Type 2 NPI

Havasu Rainbow Pediatrics and Associates PLLC

Pediatric Nurse Practitioner · Lake Havasu City, AZ

NPI number 1528973534 Active

Practice location

150 Riviera Dr
Lake Havasu City, AZ 86403-5735

Fax (928) 540-5438

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1528973534

Havasu Rainbow Pediatrics and Associates PLLC's National Provider Identifier is 1528973534, issued on Aug 14, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Aug 14, 2026.