Agave Postpartum Wellness Clinic Pllc

LBN: Agave Postpartum Wellness Clinic Pllc
Agave Postpartum Wellness Clinic Pllc is an health care organization with primary practice located at 21725 N 20Th Ave Suite 101-102 #1019, Phoenix AZ 85027-2640. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Agave Postpartum Wellness Clinic Pllc can be contacted via phone (602) 384-1648, or through Allen, Inty via phone (602) 384-1648.

Contact Information

Primary practice address
21725 N 20Th Ave Suite 101-102 #1019 Phoenix AZ 85027-2640
Phone: (602) 384-1648
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allen, Inty Family Nurse Practitioner (FNP)
Phone: (602) 384-1648

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X

Profile Details

NPI number 1386210508
LBN Legal business name Agave Postpartum Wellness Clinic Pllc
DBA Doing business as
Authorized official Allen, Inty Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2021
Last updated May 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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