OrganizationActive
Innovative Health and Wellness Center
NPI 1265862676 · General Practice Registered Nurse · Lake Havasu City, AZ
Provider details
- NPI number
- 1265862676
- Entity type
- Organization
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Summer Tilgner, Owner(928) 854-7666
- License
- 13-00030589 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
297 Lake Havasu Ave S
200
Lake Havasu City, AZ 86403-6526
Phone: (928) 854-7666
Fax: (928) 854-7660
Approximate (ZIP-level) locationGet directions
Mailing address
297 Lake Havasu Ave S
Lake Havasu City, AZ 86403-6526
Registry dates
- Enumerated
- 2013-11-21
- Last updated
- 2013-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.