Organization · Type 2 NPI
Life Health and Wellness Health Care
Family Nurse Practitioner · Phoenix, AZ
NPI number
1821349895
Active
Practice location
5040 N 15th Ave Ste 105
Phoenix, AZ 85015-3329
Fax (888) 958-5737
Mailing address
PO Box 974
Glendale, AZ 85311-0974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP 3114 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | AP1707 (AZ) |
| Family Nurse Practitioner | 363LF0000X | AP1705 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1821349895
Life Health and Wellness Health Care's National Provider Identifier is 1821349895, issued on Oct 1, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 20, 2025.