HEALTHY WINGS LLC NPI 1376905786

NPI Information

  • NPI: 1376905786
  • Provider Name: HEALTHY WINGS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 03D2121103
  • Address: 2055 E SOUTHERN AVE STE B
    TEMPE, AZ
    ZIP 85282
  • Phone: (520) 477-1815

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NPI Details

HEALTHY WINGS LLC is a primary care clinic center in Tempe, AZ. HEALTHY WINGS LLC NPI is 1376905786. The provider is registered as an organization entity type.

The provider's business location address is:

2055 E SOUTHERN AVE STE B
TEMPE, AZ
ZIP 85282-507
Phone: (520) 477-1815
Fax: (949) 543-2787

The provider's authorized official is Jennifer Ann Muhammad .
The authorized official title is Fnp, Pmhnp, & Practice Director and has the following contact phone number (520) 477-1815.

The CLIA number assigned to this NPI record is 03D2121103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 9/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QP2300XClinic/CenterPrimary CareL20603825ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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