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AGAVE SURGICAL SERVICES LLC
NPI 1477026862
Nurse Practitioner - Acute Care in Mesa, AZ

Active since January 08, 2019
2045 S VINEYARD STE 142, MESA, AZ 85210(480) 330-6010 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Agave Surgical Services Llc NPPES

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

AGAVE SURGICAL SERVICES LLC (NPI 1477026862) is a healthcare organization registered as an acute care in Mesa, Arizona and active in the NPI registry since January 2019. The organization lists Bernadette Andalkar, Owner, as its authorized official.

NPPES Registry Identity

NPI1477026862
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameAGAVE SURGICAL SERVICES LLC
Location Address2045 S VINEYARD STE 142Mesa, AZ 85210-6891
Mailing Address2045 S Vineyard Ste 142Mesa, AZ 85210-6891 · (480) 330-6010
Phone(480) 330-6010
Organization SubpartNo
Authorized OfficialBernadette AndalkarOwner · (520) 490-8368
Enumeration DateJanuary 8, 2019
✔ NPI 1477026862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
2045 S VINEYARD STE 142, Mesa, AZ 85210
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN S FARBER DO
Internal Medicine (Pulmonary Disease)
2045 S VINEYARD STE 142
MESA, AZ 85210
Maricopa County (480) 655-8040
ARIZONA LUNG CENTER PC
Internal Medicine (Pulmonary Disease)
2045 S VINEYARD STE 142
MESA, AZ 85210
Maricopa County (480) 655-8040
MRS. BERNADETTE MARIE ANDALKAR ACNP-BC
Nurse Practitioner
2045 S VINEYARD STE 142
MESA, AZ 85210
Maricopa County (480) 330-6010

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 Agave Surgical Services LLC's NPI number?

The NPI number for Agave Surgical Services LLC is 1477026862. It was assigned to this organization in the NPPES registry on January 8, 2019.

Where is Agave Surgical Services LLC located?

Agave Surgical Services LLC is located at 2045 S Vineyard Ste 142, Mesa, AZ 85210. The listed phone number is (480) 330-6010.

What is Agave Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Agave Surgical Services LLC was last updated on January 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.