OrganizationActive
Advanced Health NP LLC
NPI 1366955122 · Primary Care Nurse Practitioner · Mesa, AZ
Provider details
- NPI number
- 1366955122
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shaun Hampton, Nurse Practitioner(469) 559-4368
- License
- AP8927 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1955 S Val Vista Dr Ste 126
Mesa, AZ 85204-7372
Phone: (480) 272-8944
Fax: (480) 237-5682
Approximate (ZIP-level) locationGet directions
Mailing address
1955 S Val Vista Dr Ste 126
Mesa, AZ 85204-7372
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.