Organization
HAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RENEE GOLDEN DNP (MEMBER MANAGER)
(317) 414-5202
Entity
Organization
Contact information
Practice address
150 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5735
(928) 540-5437
(928) 540-5438
Mailing address
150 RIVIERA DR, LAKE HAVASU CITY, AZ 86403-5735
(928) 540-5437
(928) 540-5438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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