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VALLEY INTEGRATED WELLNESS LLC
NPI 1477920064
Nurse Practitioner - Family in Peoria, AZ

Active since August 31, 2015
21585 N. 77TH AVENUE, SUITE 1500, PEORIA, AZ 85382(623) 476-5227(623) 476-8379 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Valley Integrated Wellness Llc NPPES

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

VALLEY INTEGRATED WELLNESS LLC (NPI 1477920064) is a healthcare organization registered as a family in Peoria, Arizona and active in the NPI registry since August 2015. The organization lists Sandra L. Decarlo, Owner, as its authorized official.

NPPES Registry Identity

NPI1477920064
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVALLEY INTEGRATED WELLNESS LLC
Location Address21585 N. 77TH AVENUE, SUITE 1500Peoria, AZ 85382
Mailing Address21585 N. 77th Avenue, Suite 1500Peoria, AZ 85382 · (623) 476-5227 · Fax (623) 476-8379
Phone(623) 476-5227
Fax(623) 476-8379
Organization SubpartNo
Authorized OfficialSandra L. DecarloOwner · (623) 476-5227
Enumeration DateAugust 31, 2015
Last NPPES UpdateOctober 12, 2015
✔ NPI 1477920064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
21585 N. 77TH AVENUE, Peoria, AZ 85382
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Other Identifiers 1

Medicare PINZ181136AZ

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 Valley Integrated Wellness LLC's NPI number?

The NPI number for Valley Integrated Wellness LLC is 1477920064. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Valley Integrated Wellness LLC located?

Valley Integrated Wellness LLC is located at 21585 N. 77th Avenue Suite 1500, Peoria, AZ 85382. The listed phone number is (623) 476-5227.

What is Valley Integrated Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Valley Integrated Wellness LLC was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.