Organization · NPI-2

Healthcare Geniuses Medical PLLC

Nurse Practitioner, Psych/Mental Health · Surprise, AZ

NPI number1366149767
StatusActive
Last updated in NPPESOct 2, 2025

Details

NPI
1366149767
Entity type
Organization (NPI-2)
Legal business name
Healthcare Geniuses Medical PLLC
Organization subpart
No
Enumeration date
Feb 15, 2023
Certification date
Oct 2, 2025
Last updated
Oct 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
261QM1300X Clinic/Center, Multi-Specialty––
320800000X Community Based Residential Treatment Facility, Mental Illness––
363LA2200X Nurse Practitioner, Adult Health––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
363LP2300X Nurse Practitioner, Primary Care––

Other names

  • Healthcare Geniuses Medical PLLC (Former Legal Business Name)

Practice location

12801 W Bell Rd Ste 141
Surprise, AZ 85378-9734

Phone 623-401-2882 · Fax 623-401-2889

Mailing address

12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797

Phone 623-303-6904 · Fax 877-898-0766

Authorized official

Hortense Noble
Arnp Pmhnp
6233036904

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