NPI 1114230893

Innovative Health Care of Havasu LLC

Organisation Family Health Clinical Nurse Specialist Lake Havasu City, AZ

Practice location

Address: 297 Lake Havasu Ave South Suite 200, Lake Havasu City, AZ 86403
Phone: (928) 854-7666
Fax: (928) 854-7660

Authorised official

Name: Summer Yvonne Tilgner
Title: Owner
Phone: (928) 854-7666

Registered specialties

Family Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SF0001X Licence AP3726 (AZ)

Other Clinical Nurse Specialist providers in Arizona →

Registry record

NPI: 1114230893
Entity type: Organization
NPI issued: 22 Jul 2010
Record last updated: 23 May 2018

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.