Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agave Surgical Services LLC

Organization Acute Care Nurse Practitioner · NPI 1477026862

Agave Surgical Services LLC is an Acute Care Nurse Practitioner in Mesa, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2045 S Vineyard Ste 142
Mesa, AZ 85210-6891
Phone: (480) 330-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X

Record details

NPI number1477026862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernadette Andalkar — Owner · (520) 490-8368
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019
Mailing address2045 S Vineyard Ste 142, Mesa, AZ 85210-6891

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