Organization
HUMMINGBIRD HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LARSEN NP (PROVIDER / OFFICER)
(480) 915-2931
Entity
Organization
Contact information
Practice address
1737 E BROADWAY RD STE 104, TEMPE, AZ 85282-2080
(480) 915-2931
Mailing address
13611 W HOLLY ST, GOODYEAR, AZ 85395-2407
(480) 332-3561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
08/03/2025
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