Organization · Type 2 NPI

Innovative Primary Care Clinic of Havasu PLLC

Primary Care Nurse Practitioner · Lake Havasu City, AZ

NPI number 1588097349 Active

About NPI 1588097349

Innovative Primary Care Clinic of Havasu PLLC's National Provider Identifier is 1588097349, issued on Aug 15, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Aug 16, 2013.