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INNOVATIVE HEALTH CARE OF HAVASU LLC
NPI 1114230893
Clinical Nurse Specialist - Family Health in Lake Havasu City, AZ

Active since July 22, 2010
297 LAKE HAVASU AVE SOUTH, SUITE 200, LAKE HAVASU CITY, AZ 86403(928) 854-7666(928) 854-7660 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Innovative Health Care Of Havasu Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE HEALTH CARE OF HAVASU LLC (NPI 1114230893) is a healthcare organization registered as a family health in Lake Havasu City, Arizona and active in the NPI registry since July 2010. The organization lists Summer Yvonne Tilgner, Owner, as its authorized official.

NPPES Registry Identity

NPI1114230893
Entity TypeOrganization
Primary Taxonomy364SF0001X
Legal Business NameINNOVATIVE HEALTH CARE OF HAVASU LLC
Location Address297 LAKE HAVASU AVE SOUTH, SUITE 200Lake Havasu City, AZ 86403
Mailing Address297 Lake Havasu Ave South, Suite 200Lake Havasu City, AZ 86403 · (928) 854-7666 · Fax (928) 854-7660
Phone(928) 854-7666
Fax(928) 854-7660
Organization SubpartNo
Authorized OfficialSummer Yvonne TilgnerOwner · (928) 854-7666
Enumeration DateJuly 22, 2010
Last NPPES UpdateMay 23, 2018
✔ NPI 1114230893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SF0001X
License✔ Licensed in AZ · AP3726
297 LAKE HAVASU AVE SOUTH, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Health Care Of Havasu LLC's NPI number?

The NPI number for Innovative Health Care Of Havasu LLC is 1114230893. It was assigned to this organization in the NPPES registry on July 22, 2010.

Where is Innovative Health Care Of Havasu LLC located?

Innovative Health Care Of Havasu LLC is located at 297 Lake Havasu Ave South Suite 200, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-7666.

What is Innovative Health Care Of Havasu LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

When was this NPI record last updated?

The NPPES record for Innovative Health Care Of Havasu LLC was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.