| White Mountain Wellness Clinic Llc | |
|
501 S Clark Rd # 7a Show Low AZ 85901-5655 | |
| (928) 800-1228 | |
| (928) 563-1006 |
| Full Name | White Mountain Wellness Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 501 S Clark Rd # 7a, Show Low, Arizona |
| Authorized Official Name and Position | Holly Engelman (NURSE PRACTITIONER) |
| Authorized Official Contact | 9288001228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Wellness Clinic Llc 501 S Clark Rd # 7a Show Low AZ 85901-5655 Ph: (928) 233-6551 | White Mountain Wellness Clinic Llc 501 S Clark Rd # 7a Show Low AZ 85901-5655 Ph: (928) 800-1228 |
| NPI Number | 1073038758 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073038758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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