New Directions Integrative Wellness Center of Wickenburg, Arizona, PLL

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP4081 Issued in AZ

Legal business name

NEW DIRECTIONS INTEGRATIVE WELLNESS CENTER OF WICKENBURG, ARIZONA, PLL

Practice address

370 Palm Drive
Wickenburg, AZ 85390

Phone

(928) 220-8216

Fax

(716) 408-1100

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By 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

Mrs. Amanda Rae Coburn, MSED

Title

Chief Office Administrator

Phone

(716) 307-5969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1760760250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PALM DRIVE",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "85390",
            "telephone_number": "928-220-8216",
            "fax_number": "716-408-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PALM DRIVE",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "85390",
            "telephone_number": "928-220-8216",
            "fax_number": "716-408-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS INTEGRATIVE WELLNESS CENTER OF WICKENBURG, ARIZONA, PLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "716-307-5969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "AP4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B. Murnighan, M.A.
• Timberly C Murphy
• Ashley Lynne Murray, PHARMD
• Nassim Haddad MD PLLC
• Courtney Lyn Neal, MSN, APRN, FNP-C
• New Focus Psychiatry LLC
• Drema Denae Newman, FNP-C
• Mobin Nikfekr, PHARMD
• Maria Isabel Nino de Guzman, PH.D.
• Non-Invasive Vascular Solution (NVS)

• Primary Care Clinic/Center in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.