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

Edenmd Wellness LLC

Organization Family Medicine Physician · NPI 1801513114

Edenmd Wellness LLC is a Family Medicine Physician in Prescott Valley, Arizona. Registered with an NPI since 2022.

In the registry since
2022
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

7760 E State Route 69 Ste C5-342
Prescott Valley, AZ 86314-2201
Phone: (602) 525-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1801513114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Forde — Physician, Partner, Administrator · (956) 607-4880
NPI enumeratedOctober 26, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address6620 E Desperado Dr, Prescott Valley, AZ 86314-5824

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