| I Am Wellness Az Llc | |
|
1616 E Indian School Rd Ste 135 Phoenix AZ 85016-8610 | |
| (480) 900-9355 | |
| Not Available |
| Full Name | I Am Wellness Az Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1616 E Indian School Rd Ste 135, Phoenix, Arizona |
| Authorized Official Name and Position | Claire Brown (CREDENTIALING) |
| Authorized Official Contact | 6024928606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Am Wellness Az Llc 898 N 1200 W Ste 201 Orem UT 84057-3558 Ph: (480) 900-9355 | I Am Wellness Az Llc 1616 E Indian School Rd Ste 135 Phoenix AZ 85016-8610 Ph: (480) 900-9355 |
| NPI Number | 1184354532 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Medicare PECOS PAC ID | 8123497344 |
|---|---|
| Medicare Enrollment ID | O20221211000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184354532 | NPI | - | NPPES |
| Provider Name | Charrisa Kimberly Renee Riggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295144749 PECOS PAC ID: 7315243482 Enrollment ID: I20160316000307 |
| Provider Name | Ibukun Odutola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801404074 PECOS PAC ID: 3971929704 Enrollment ID: I20201203001816 |
| Provider Name | Rebecca Anne Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003405739 PECOS PAC ID: 8426449075 Enrollment ID: I20211215002679 |
| Provider Name | Temitope Macdowald Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965996 PECOS PAC ID: 7911143417 Enrollment ID: I20240212001211 |
| Provider Name | June Michelle Steely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891733374 PECOS PAC ID: 2860567195 Enrollment ID: I20240221003264 |
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