Organization
INNOVATIVE HEALTH CARE OF HAVASU LLC
Active
Organization
INNOVATIVE HEALTH CARE OF HAVASU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUMMER YVONNE TILGNER DNP (OWNER)
(928) 854-7666
Entity
Organization
Contact information
Practice address
297 LAKE HAVASU AVE SOUTH, SUITE 200, LAKE HAVASU CITY, AZ 86403
(928) 854-7666
(928) 854-7660
Mailing address
297 LAKE HAVASU AVE SOUTH, SUITE 200, LAKE HAVASU CITY, AZ 86403
(928) 854-7666
(928) 854-7660
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP3726
AZ
Other
Enumeration date
07/22/2010
Last updated
05/23/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up