Organization · NPI-2

Advanced Health NP LLC

Nurse Practitioner, Primary Care · Mesa, AZ

NPI number1366955122
StatusActive
Last updated in NPPESApr 23, 2026

Details

NPI
1366955122
Entity type
Organization (NPI-2)
Legal business name
Advanced Health NP LLC
Organization subpart
No
Enumeration date
Nov 14, 2017
Certification date
Apr 23, 2026
Last updated
Apr 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary CareAP8927AZYes

Practice location

1955 S Val Vista Dr Ste 126
Mesa, AZ 85204-7372

Phone 480-272-8944 · Fax 480-237-5682

Mailing address

1955 S Val Vista Dr Ste 126
Mesa, AZ 85204-7372

Phone 480-272-8944 · Fax 480-237-5682

Authorized official

Shaun Hampton
Nurse Practitioner
4695594368

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