Organization
TALL PINES WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALENA THOMPSON NP (OWNER)
(928) 300-8295
Entity
Organization
Contact information
Practice address
2641 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6229
(928) 300-8295
Mailing address
2641 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6229
(928) 300-8295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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