Organization
YOUR HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KNOBLAUCH FNP-BC (OWNER)
(602) 625-7944
Entity
Organization
Contact information
Practice address
3326 N 3RD AVE STE 201, PHOENIX, AZ 85013-4336
(602) 625-7944
Mailing address
3326 N 3RD AVE STE 201, PHOENIX, AZ 85013-4336
(602) 625-7944
(602) 865-7576
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103753
—
AZ
Enumeration date
09/23/2021
Last updated
12/20/2023
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