Organization · Type 2 NPI
Evergrove Integrative Health PLLC
Family Nurse Practitioner · Mesa, AZ
NPI number
1851209480
Active
Practice location
3863 E Ellis St
Mesa, AZ 85205-5175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1851209480
Evergrove Integrative Health PLLC's National Provider Identifier is 1851209480, issued on Sep 1, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 1, 2026.