Agave Postpartum Wellness Clinic PLLC
Nurse Practitioner, Family in Phoenix, Arizona
1386210508- 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. The NPI number for Agave Postpartum Wellness Clinic PLLC is 1386210508. The current practice location address is 21725 N 20TH Ave, Suite 101-102 #1019, Phoenix, AZ 85027-2640 and the office can be reached by phone at 602-384-1648. The NPI was assigned on May 28, 2021 and the record was last updated in NPPES on May 4, 2022.
●Provider Profile Details
- NPI Number
- 1386210508
- Provider Name
- Agave Postpartum Wellness Clinic PLLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Inty Allen, FNP · Owner/Provider · 602-384-1648
- Enumeration Date
- May 28, 2021
- Last Update Date
- May 4, 2022
- Certification Date
- May 4, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 21725 N 20TH Ave
Suite 101-102 #1019
Phoenix, AZ 85027-2640 - City
- Phoenix
- State
- Arizona
- ZIP
- 85027-2640
- Country
- US
- Phone Number
- 602-384-1648
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Women's Health 193400000X - Multiple Single Specialty Group | 363LW0102X | No | — | — |
| Nurse Practitioner, Family 193400000X - Multiple Single Specialty Group | 363LF0000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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 at npiregistry.cms.hhs.gov.