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

Rejuvenated Health & Wellness

Organization Nurse Practitioner · NPI 1063000479

Rejuvenated Health & Wellness is a Nurse Practitioner in Fort Mohave, Arizona. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5221 S Highway 95 Ste 13
Fort Mohave, AZ 86426-9244
Phone: (928) 234-7572
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063000479
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNippies
Authorized official Dayna Blake — Fnp-Bc · (928) 201-8289
Other names Rejuvenated Health & Wellness
NPI enumeratedJanuary 2, 2021
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing addressPo Box 10837, Fort Mohave, AZ 86427-0837

Other providers in Fort Mohave