ADVANCED WOUND CARE OF ARIZONA PLLC
NPI 1720839665
Nurse Practitioner in Prescott, AZ

Active since March 28, 2024
3667 REFLECTION DR, PRESCOTT, AZ 86305(928) 530-3230 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Advanced Wound Care Of Arizona Pllc NPPES

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

ADVANCED WOUND CARE OF ARIZONA PLLC (NPI 1720839665) is a healthcare organization registered as a nurse practitioner in Prescott, Arizona and active in the NPI registry since March 2024. The organization lists Ron Olsen, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1720839665
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameADVANCED WOUND CARE OF ARIZONA PLLC
Location Address3667 REFLECTION DRPrescott, AZ 86305-7188
Mailing Address3667 Reflection DrPrescott, AZ 86305-7188 · (928) 530-3230
Organization SubpartNo
Authorized OfficialRon OlsenPresident/ceo · (928) 530-3230
Enumeration DateMarch 28, 2024
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1720839665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
3667 REFLECTION DR, Prescott, AZ 86305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
3667 REFLECTION DR
PRESCOTT, AZ 86305

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 Advanced Wound Care Of Arizona PLLC's NPI number?

The NPI number for Advanced Wound Care Of Arizona PLLC is 1720839665. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Advanced Wound Care Of Arizona PLLC located?

Advanced Wound Care Of Arizona PLLC is located at 3667 Reflection Dr, Prescott, AZ 86305. The listed phone number is (928) 530-3230.

What is Advanced Wound Care Of Arizona PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Advanced Wound Care Of Arizona PLLC was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.