Organization · Type 2 NPI
Tall Pines Wellness
Nurse Practitioner · Lakeside, AZ
Practice location
2641 W White Mountain Blvd
Lakeside, AZ 85929-6229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Lakeside
About NPI 1891651469
Tall Pines Wellness's National Provider Identifier is 1891651469, issued on Dec 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeside, AZ. The record was last updated on Dec 29, 2025.