Organization
REJUVENATED HEALTH & WELLNESS
Active
Parent organization
NIPPIES
Other names
Rejuvenated Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIPPIES
Authorized official
DAYNA BLAKE (FNP-BC)
(928) 201-8289
Entity
Organization
Contact information
Practice address
5221 S HIGHWAY 95 STE 13, FORT MOHAVE, AZ 86426-9244
(928) 234-7572
Mailing address
PO BOX 10837, FORT MOHAVE, AZ 86427-0837
(928) 201-8289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2021
Last updated
07/06/2022
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