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

Ketamine Wellness Centers Mesa, LLC

Organization Registered Nurse · NPI 1447811898

Ketamine Wellness Centers Mesa, LLC is a Registered Nurse in Gilbert, Arizona. Registered with an NPI since 2019.

In the registry since
2019
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

2451 E Baseline Rd Ste 300
Gilbert, AZ 85234-2465
Phone: (480) 788-8539
Fax: (844) 538-9355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Registered Nurse Taxonomy 163W00000X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1447811898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Jerger — Executive Assistant · (855) 538-9355
NPI enumeratedJune 26, 2019
Last updated in NPPESJanuary 10, 2022
Certification dateSeptember 21, 2021
Mailing address2451 E Baseline Rd Ste 300, Gilbert, AZ 85234-2465

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