Integrative & Wellness of Arizona PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN147575 Issued in AZ

Legal business name

INTEGRATIVE & WELLNESS OF ARIZONA PLLC

Practice address

1110 E Route 66
Ste 202
Flagstaff, AZ 86001-4773

Phone

(928) 214-7400

Fax

(928) 214-7401

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Vicki Joyce, NP

Title

Owner

Phone

(928) 214-7400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1922371202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66",
            "address_2": "STE 202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014773",
            "telephone_number": "928-214-7400",
            "fax_number": "928-214-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E ROUTE 66",
            "address_2": "STE 202",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014773",
            "telephone_number": "928-214-7400",
            "fax_number": "928-214-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE & WELLNESS OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-214-7400",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN147575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.