| Mind-body Connections | |
|
3048 E Baseline Rd Ste 122 Mesa AZ 85204-7288 | |
| (602) 980-8703 | |
| (602) 962-4108 |
| Full Name | Mind-body Connections |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3048 E Baseline Rd Ste 122, Mesa, Arizona |
| Authorized Official Name and Position | Dorothy Igwe (OWNER) |
| Authorized Official Contact | 6029808703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind-body Connections 3048 E Baseline Rd Ste 122 Mesa AZ 85204-7288 Ph: (602) 980-8703 | Mind-body Connections 3048 E Baseline Rd Ste 122 Mesa AZ 85204-7288 Ph: (602) 980-8703 |
| NPI Number | 1962173252 |
|---|---|
| Provider Enumeration Date | 09/25/2021 |
| Last Update Date | 05/26/2026 |
| Certification Date | 05/26/2026 |
| Medicare PECOS PAC ID | 6608265483 |
|---|---|
| Medicare Enrollment ID | O20211117000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962173252 | NPI | - | NPPES |
| 106503 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
| Provider Name | Dorothy C Igwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073038824 PECOS PAC ID: 9739577107 Enrollment ID: I20211104001097 |
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