Innovative Primary Care Clinic of Havasu PLLC
Innovative Primary Care Clinic of Havasu PLLC provides Primary Care Nurse Practitioner services in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2013.
- Licensed in
- AZ
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
297 Lake Havasu Ave S Ste 106Lake Havasu City, AZ 86403-6526 Not confirmed with CMS for 13 years — call before visiting
Phone: (928) 854-7666
Fax: (928) 854-7660
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence AP1654 (AZ) |
|---|
Record details
| NPI number | 1588097349 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacquelyn Meyer — President · (928) 854-7666 |
| NPI enumerated | August 15, 2013 |
| Last updated in NPPES | August 16, 2013 |
| Mailing address | Po Box 27340, Phoenix, AZ 85061-7340 |
Other providers in Lake Havasu City
-
Harmony Health & Wellness Center PLLC
2169 Swanson Ave Ste 1, Lake Havasu City, AZ 86403-6878 · (928) 575-2090
-
Shawn Robert O'Haver, AG-ACNP
84 Acoma Blvd N Ste 106, Lake Havasu City, AZ 86403-6096 · (928) 412-8808