SUNRISE WELLNESS SOLUTION PLLC NPI 1407527203

NPI Information

NPI: 1407527203
Provider Name: SUNRISE WELLNESS SOLUTION PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 03D2269075

Address:
5287 S HIGHWAY 95 STE I
FORT MOHAVE, AZ
ZIP 86426
Phone: (928) 577-2024
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SUNRISE WELLNESS SOLUTION PLLC is a primary care clinic center in Fort Mohave, AZ. SUNRISE WELLNESS SOLUTION PLLC NPI is 1407527203. The provider is registered as an organization entity type.

The provider's business location address is:

5287 S HIGHWAY 95 STE I
FORT MOHAVE, AZ
ZIP 86426-220
Phone: (928) 577-2024
Fax: (970) 788-1820

The provider's authorized official is Lisa Ann Stanley .
The authorized official title is Nurse Practitioner and has the following contact phone number (660) 723-0953.

The CLIA number assigned to this NPI record is 03D2269075 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2021 and was last updated on 10/25/2023.

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
1	261QI0500X	Clinic/Center	Infusion Therapy			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

NPI Synchronization or Removal

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