NPI 1053297143

Branch Wellness LLC

Organisation General Practice Physician Phoenix, AZ

Practice location

Address: 5201 N 19th Ave STE 100, Phoenix, AZ 85015-2901
Phone: (602) 704-4130

Authorised official

Name: Lawanda Dupree
Title: Np/Owner
Phone: (602) 704-4130

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arizona →

Registry record

NPI: 1053297143
Entity type: Organization
NPI issued: 13 Aug 2025
Record last updated: 13 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.