Organization
BRECKENRIDGE WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER BRECKENRIDGE FNP-C (MEDICAL DIRECTOR)
(928) 589-0730
Entity
Organization
Contact information
Practice address
2615 N 4TH ST STE 6, FLAGSTAFF, AZ 86004-1812
(928) 549-0730
Mailing address
2615 N 4TH ST STE 6, FLAGSTAFF, AZ 86004-1812
(928) 549-0730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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