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

Branch Wellness LLC

Organization General Practice Physician · NPI 1053297143

Branch Wellness LLC is a General Practice Physician in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
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

5201 N 19th Ave Ste 100
Phoenix, AZ 85015-2901
Phone: (602) 704-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053297143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawanda Dupree — Np/Owner · (602) 704-4130
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address5201 N 19th Ave Ste 100, Phoenix, AZ 85015-2901

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