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Organization

HEALING TIDE MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYLA BERRY FNP (OWNER)
(623) 742-8819
Entity
Organization

Contact information

Practice address
32808 N CROZIER RD, WITTMANN, AZ 85361-9997
(602) 410-1898
Mailing address
32808 N CROZIER RD, WITTMANN, AZ 85361-9997
(602) 410-1898

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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