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Blue River Health & Wellness, Pllc
Primary Care Nurse Practitioner in Fort Mohave, Arizona
NPI 1356073852

Blue River Health & Wellness, Pllc is a Primary Care Nurse Practitioner based in Fort Mohave, AZ and is specialized in Primary Care. Blue River Health & Wellness, Pllc practices in Fort Mohave, AZ. The NPI Number for Blue River Health & Wellness, Pllc is 1356073852 and holds a License No. (Arizona).

The current practice location address for Blue River Health & Wellness, Pllc is 1520 E Hammer Ln Ste 104, Fort Mohave, AZ and can be reached out via phone at 602-315-0211.

Location: 1520 E Hammer Ln Ste 104, Fort Mohave, AZ, 86427-0739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356073852
Provider Name
Blue River Health & Wellness, Pllc
Credential
Provider Entity Type
Organization
Address
1520 E Hammer Ln Ste 104, Fort Mohave, AZ, 86427-0739
Phone Number
602-315-0211
Fax Number
Provider Enumeration Date
06/24/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23375081 01 AZ CORPORATION ID
institution
Provider Business Practice Location Address Details
Address
1520 E Hammer Ln Ste 104
City
Fort Mohave
State
Arizona
Zip
86426-6665
Phone Number
602-315-0211
Fax Number
person
Provider Business Mailing Address Details
Address
1520 E Hammer Ln Ste 104
City
Fort Mohave
State
Arizona
Zip
86426-6665
Phone Number
602-315-0211
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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