Organization · NPI-2
Aqua Rituals, LLC
Nurse Practitioner, Psych/Mental Health · Buckeye, AZ
NPI number1992659700
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1992659700
- Entity type
- Organization (NPI-2)
- Legal business name
- Aqua Rituals, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2026
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
20608 W Hamilton StBuckeye, AZ 85396-8030
Phone 602-397-8690
Mailing address
1300 S Watson RdBuckeye, AZ 85326-6303
Phone 602-397-8690
Authorized official
Priscila Hernandez
Owner
6023978690
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