Rejuvenated Health & Wellness
NPI #1063000479 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1063000479
- Entity Type
- Organization
- Organization Name
- Rejuvenated Health & Wellness
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NIPPIES
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 2, 2021
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 5221 S HIGHWAY 95 STE 13
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9244
- Phone
- (928) 234-7572
Authorized Official
- Name
- DAYNA BLAKE
- Title
- FNP-BC
- Phone
- (928) 201-8289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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