- Practice location
- 21725 N 20TH Ave, Suite 101-102 #1019, Phoenix, AZ 85027-2640
- Phone
- 602-384-1648
- Fax
- —
- Last updated
- May 4, 2022
Agave Postpartum Wellness Clinic PLLC is a healthcare organization based in Phoenix, AZ. Agave Postpartum Wellness Clinic PLLC practices in Phoenix, AZ. The NPI Number for Agave Postpartum Wellness Clinic PLLC is 1386210508. The current practice location address for Agave Postpartum Wellness Clinic PLLC is 21725 N 20TH Ave, Suite 101-102 #1019, Phoenix, AZ 85027-2640 and can be reached out via phone at 602-384-1648.
Provider Profile Details
- NPI Number
- 1386210508
- Provider Name
- Agave Postpartum Wellness Clinic PLLC
- Provider Entity Type
- Organization
- Address
- 21725 N 20TH Ave, Suite 101-102 #1019, Phoenix, AZ 85027-2640
- Phone Number
- 602-384-1648
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Inty Allen, FNP · Owner/Provider · 602-384-1648
- Provider Enumeration Date
- May 28, 2021
- Last Update Date
- May 4, 2022
- Certification Date
- May 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21725 N 20TH Ave
Suite 101-102 #1019
Phoenix, AZ 85027-2640 - City
- Phoenix
- State
- Arizona
- Zip
- 85027-2640
- Phone Number
- 602-384-1648
Provider Business Mailing Address Details
- Address
- 21725 N 20TH Ave
Suite 101-102 #1019
Phoenix, AZ 85027-2640 - City
- Phoenix
- State
- AZ
- Zip
- 85027-2640
- Phone Number
- 602-384-1648
License Information
- Taxonomy (1)
- Nurse Practitioner, Women's Health · 363LW0102X
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agave Postpartum Wellness Clinic PLLC?
The NPI number of Agave Postpartum Wellness Clinic PLLC is 1386210508. It was assigned on May 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Agave Postpartum Wellness Clinic PLLC?
Agave Postpartum Wellness Clinic PLLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).
Where does Agave Postpartum Wellness Clinic PLLC practice?
The practice location is 21725 N 20TH Ave, Suite 101-102 #1019, Phoenix, AZ 85027-2640. The office can be reached at 602-384-1648 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386210508 directly on the NPPES registry website.