Organization
ELIXEUM HEALTH, LLC
Active
Other names
Elixeum Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG AGACNP-BC (OWNER)
(480) 203-4365
Entity
Organization
Contact information
Practice address
3272 E MEADOWVIEW DR, GILBERT, AZ 85298-4313
(480) 203-4365
Mailing address
3272 E MEADOWVIEW DR, GILBERT, AZ 85298-4313
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
10/05/2020
Last updated
03/02/2022
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