Agricola Health Inc

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI 1497424360 · NPPES record last updated Sep 13, 2021

Key facts

NPI
1497424360
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
AGRICOLA HEALTH INC
Practice address
7600 N 15TH St Ste 150
Phoenix, AZ 85020-4305
Phone
(404) 697-7506
NPI assigned
Sep 13, 2021
Organization subpart
No

Authorized official

Name
Dwayne Barrow
Title
Owner
Phone
(404) 697-7506

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

7600 N 15TH St Ste 150
Phoenix, AZ 85020-4305

Mailing address

17631 Mulberry Dr
Carson, CA 90746-7403

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.