Advanced Wound Care of Arizona PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADVANCED WOUND CARE OF ARIZONA PLLC

Practice address

3667 Reflection Dr
Prescott, AZ 86305-7188

Phone

(928) 530-3230

NPI assigned

Mar 28, 2024

Last updated

Apr 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ron OlsenNPI 1972510675

Title

President/Ceo

Phone

(928) 530-3230

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Advanced Wound Care of Arizona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Wound Care of Arizona PLLC

  • Durable Medical Equipment & Medical Supplies
  • Kingman, AZ
  • NPI 1740133941
  NPD tax ID

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Anthon Olsen, DPM

  • Podiatrist
  • Queen Creek, AZ
  • NPI 1972510675
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Marie Eyer

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1013559301

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Daniel Hall, DNP

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1013437458
  Medicare reassignment Care Compare group NPD
• Stacie E Solo, RN

  • Family Nurse Practitioner
  • Prescott, AZ
  • NPI 1962916775
  Medicare reassignment Care Compare group NPD
• Armando Valdez De Guzman, M.D.

  • General Practice Physician
  • Tucson, AZ
  • NPI 1558665398
  Medicare reassignment NPD
• Amanda Paige Gunn, FNP-BC

  • Family Nurse Practitioner
  • Fountain Hills, AZ
  • NPI 1700398716
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1720839665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3667 REFLECTION DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057188",
            "telephone_number": "928-530-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3667 REFLECTION DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057188",
            "telephone_number": "928-530-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "928-530-3230"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Affordable Oxygen & Medical Supply. LLC
• Rahmat Afrasiabi, M.D.
• Agape Transportation LLC
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• Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.