OrganizationActive
Blue River Health & Wellness, PLLC
NPI 1356073852 · Family Nurse Practitioner · Fort Mohave, AZ
Provider details
- NPI number
- 1356073852
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Roberts, Owner(928) 577-2727
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1520 E Hammer Ln Ste 104
Fort Mohave, AZ 86426-6665
Phone: (602) 315-0211
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10739
Fort Mohave, AZ 86427-0739
Registry dates
- Enumerated
- 2022-06-24
- Last updated
- 2022-06-24
- Certified
- 2022-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.