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

Medwell Medical Group LLC

Organization Nurse Practitioner · NPI 1205666088

Medwell Medical Group LLC is a Nurse Practitioner in Tempe, Arizona. Registered with an NPI since 2024.

In the registry since
2024
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

995 E Baseline Rd Apt 2116
Tempe, AZ 85283-1363
Phone: (810) 813-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1205666088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eddy Elkassis — Owner · (810) 813-5550
NPI enumeratedAugust 6, 2024
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024
Mailing address6036 Jennifer Cres, W Bloomfield, MI 48324-3127

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