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

Harbor Health Integrated Care LLC

Organization Family Medicine Physician · NPI 1831711258

Harbor Health Integrated Care LLC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478
Phone: (888) 900-8082
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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
Community Health Clinic/Center Taxonomy 261QC1500X
Medical Specialty Clinic/Center Taxonomy 261QM2500X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X
Psychiatric Hospital Taxonomy 283Q00000X

Record details

NPI number1831711258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnwick Nathan — Owner · (888) 900-8082
NPI enumeratedMay 7, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 25, 2020
Mailing address1717 W Northern Ave Ste 200, Phoenix, AZ 85021-5478

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