Organization
MYTHICAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ANGEL FNP-BC (OWNER/PROVIDER)
(928) 362-0577
Entity
Organization
Contact information
Practice address
1000 WILLOW CREEK RD STE C, PRESCOTT, AZ 86301-1645
(928) 362-0577
(928) 916-5441
Mailing address
1000 WILLOW CREEK RD STE C, PRESCOTT, AZ 86301-1645
(928) 362-0577
(928) 916-5441
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
12/31/2024
Last updated
09/03/2025
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