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EDENMD WELLNESS LLC
NPI 1801513114
Family Medicine in Prescott Valley, AZ

Active since October 26, 2022
7760 E STATE ROUTE 69 STE C5-342, PRESCOTT VALLEY, AZ 86314(602) 525-8530 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2022, Oct 26, 2022 (2 updates tracked since 2022).

About Edenmd Wellness Llc NPPES

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

EDENMD WELLNESS LLC (NPI 1801513114) is a healthcare organization registered as a family medicine in Prescott Valley, Arizona and active in the NPI registry since October 2022. The organization lists Ruth Forde, Physician, Partner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801513114
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDENMD WELLNESS LLC
Location Address7760 E STATE ROUTE 69 STE C5-342Prescott Valley, AZ 86314-2201
Mailing Address6620 E Desperado DrPrescott Valley, AZ 86314-5824 · (956) 607-4880
Phone(602) 525-8530
Organization SubpartNo
Authorized OfficialRuth FordePhysician, Partner, Administrator · (956) 607-4880
Enumeration DateOctober 26, 2022
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1801513114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7760 E STATE ROUTE 69 STE C5-342, Prescott Valley, AZ 86314
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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

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 Edenmd Wellness LLC's NPI number?

The NPI number for Edenmd Wellness LLC is 1801513114. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Edenmd Wellness LLC located?

Edenmd Wellness LLC is located at 7760 E State Route 69 Ste C5-342, Prescott Valley, AZ 86314. The listed phone number is (602) 525-8530.

What is Edenmd Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edenmd Wellness LLC was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.