Innovative Primary Care Clinic of Havasu PLLC
Innovative Primary Care Clinic of Havasu PLLC is a Primary Care Nurse Practitioner in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
297 Lake Havasu Ave S Ste 106Lake Havasu City, AZ 86403-6526
Phone: (928) 854-7666
Fax: (928) 854-7660
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence AP1654 (AZ) |
|---|
Record details
| NPI number | 1588097349 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquelyn Meyer — President · (928) 854-7666 |
| NPI enumerated | August 15, 2013 |
| Last updated in NPPES | August 16, 2013 |
| Mailing address | Po Box 27340, Phoenix, AZ 85061-7340 |
Other providers in Lake Havasu City
-
Harmony Health & Wellness Center PLLC
2169 Swanson Ave Ste 1, Lake Havasu City, AZ 86403-6878 · (928) 575-2090
-
Shawn Robert O'Haver, AG-ACNP
84 Acoma Blvd N Ste 106, Lake Havasu City, AZ 86403-6096 · (928) 412-8808