Organization · Type 2 NPI

Agave Roots Health Care LLC

Family Nurse Practitioner · San Tan Valley, AZ

NPI number 1669389904 Active

About NPI 1669389904

Agave Roots Health Care LLC's National Provider Identifier is 1669389904, issued on Aug 24, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Aug 24, 2026.