DESERT GRACE WELLNESS LLC
NPI 1467292151
Nurse Practitioner - Primary Care in Waddell, AZ

Active since May 29, 2024
17328 W SELDON LN, WADDELL, AZ 85355(951) 764-2457 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Desert Grace Wellness Llc NPPES

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

DESERT GRACE WELLNESS LLC (NPI 1467292151) is a healthcare organization registered as a primary care in Waddell, Arizona and active in the NPI registry since May 2024. The organization lists Anna P Hall, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1467292151
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDESERT GRACE WELLNESS LLC
Location Address17328 W SELDON LNWaddell, AZ 85355-7628
Mailing AddressPo Box 774Waddell, AZ 85355-0774 · (951) 764-2457
Organization SubpartNo
Authorized OfficialAnna P HallSole Member · (951) 764-2457
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1467292151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
17328 W SELDON LN, Waddell, AZ 85355

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 Desert Grace Wellness LLC's NPI number?

The NPI number for Desert Grace Wellness LLC is 1467292151. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Desert Grace Wellness LLC located?

Desert Grace Wellness LLC is located at 17328 W Seldon Ln, Waddell, AZ 85355. The listed phone number is (951) 764-2457.

What is Desert Grace Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Desert Grace Wellness LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.