Organization
SUNRISE WELLNESS SOLUTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN STANLEY APRN (NURSE PRACTITIONER)
(660) 723-0953
Entity
Organization
Contact information
Practice address
5287 S HIGHWAY 95 STE I, FORT MOHAVE, AZ 86426-9220
(928) 577-2024
(970) 788-1820
Mailing address
5287 S HIGHWAY 95 STE I, FORT MOHAVE, AZ 86426-9220
(928) 577-2024
(970) 788-1820
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
10/25/2023
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