Organization
NIRVANA HOLISTIC HEALTH CENTERS, PLLC
Active
Other names
Nirvana Holistic Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA ALYSSA AVANT-ORTIZ FNP-C (CHIEF EXECUTIVE OFFICER)
(480) 241-3710
Entity
Organization
Contact information
Practice address
733 E UNIVERSITY DR, SUITE 4, MESA, AZ 85203-7965
(480) 890-3790
(480) 890-3051
Mailing address
733 E UNIVERSITY DR, SUITE 4, MESA, AZ 85203-7965
(480) 890-3790
(480) 890-3051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4495
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135547
—
AZ
Enumeration date
04/28/2016
Last updated
09/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us