MESQUITE VALLEY INTEGRATED HEALTH
NPI 1790384014
Nurse Practitioner - Community Health in Mesa, AZ

Q: What is Fulton & Fulton LLC's NPI number?

The NPI number for Fulton & Fulton LLC is 1790384014. It was assigned to this organization in the NPPES registry on October 19, 2020. The provider is doing business as Mesquite Valley Integrated Health.

Q: What is Fulton & Fulton LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since October 19, 2020CLIA 03D2212821 · Waiver

560 W BROWN RD STE 1011, MESA, AZ 85201(480) 509-7738(480) 856-9069 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Feb 24, 2021, Oct 19, 2020 (3 updates tracked since 2020).

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About Mesquite Valley Integrated Health NPPES

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

MESQUITE VALLEY INTEGRATED HEALTH (NPI 1790384014) is a healthcare organization registered as a community health in Mesa, Arizona and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 7, 2027, maintains a secondary practice location in Mesa, and lists Troy Fulton, Owner, as its authorized official.

NPPES Registry Identity

NPI1790384014

Entity TypeOrganization

Primary Taxonomy363LC1500X

Legal Business NameFULTON & FULTON LLC

Location Address560 W BROWN RD STE 1011Mesa, AZ 85201-3222

Mailing Address560 W Brown Rd Ste 1011Mesa, AZ 85201-3222 · (480) 509-7738 · Fax (480) 856-9069

Phone(480) 509-7738

Fax(480) 856-9069

Organization SubpartNo

Authorized OfficialTroy FultonOwner · (480) 509-7738

Enumeration DateOctober 19, 2020

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1790384014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

560 W BROWN RD STE 1011, Mesa, AZ 85201

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Other Names 1

Doing Business AsMesquite Valley Integrated Health

Secondary Practice Location 1

Location 1560 W Brown Rd Ste 1011Mesa, AZ 85201-3222 · Phone (480) 509-7738 · Fax (480) 856-9069

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2212821

Fulton And Fulton, LLC · Mesa, AZ

Active · expires Feb 7, 2027

CLIA Number03D2212821

Laboratory TypePhysician Office

Certificate Effective DateFebruary 8, 2025

Certificate Expiration DateFebruary 7, 2027

Laboratory DirectorTroy M. Fulton

Laboratory Phone(480) 509-7738

Laboratory LocationFulton And Fulton, LLC560 W Brown Rd Ste 1011, Mesa, AZ 85201

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

TROY MICHAEL FULTON

Nurse Practitioner (Psychiatric/Mental Health)