Innovative Health Care Of Havasu

NPI 1114230893 - Clinical Nurse Specialist - 364SF0001X

NPI Details
NPI 1114230893
Enumeration Date 07/22/2010
Last Updated 08/15/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SUMMER YVONNE SUMMER
Position OWNER
Phone (928) 230-1593
Fax (928) 453-0502
Practice Location
297 LAKE HAVASU AVE S
#204
LAKE HAVASU CITY AZ, 86403-6526, US
Phone (928) 230-1593
Fax (928) 453-0502
Business Location
297 LAKE HAVASU AVE S
#204
LAKE HAVASU CITY AZ, 86403-6526, US
Phone (928) 230-1593
Fax (928) 453-0502
Toxanomy
Taxonomy Code 364SF0001X
License State Arizona
License Number AP3726
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According to our database, Innovative Health Care Of Havasu NPI is 1114230893, taxonomy code is 364SF0001X and license number is AP3726, license state is located at Arizona. Innovative Health Care Of Havasu physically located at 297 Lake Havasu Ave S, Lake Havasu City AZ, 86403-6526. NPI Number 1033115704 has the healthcare provider type.

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1114230893 NPI number is provided on an as is basis without warranty of any kind. 1114230893 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Health Care Of Havasu are for informational purposes only.