NIRVANA HOLISTIC HEALTH CENTERS
NPI 1982059853
Nurse Practitioner - Family in Mesa, AZ

Q: What is Nirvana Holistic Health Centers, PLLC's specialty?

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

Active since April 28, 2016

733 E UNIVERSITY DR, SUITE 4, MESA, AZ 85203(480) 890-3790(480) 890-3051 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2016, May 14, 2016 (2 updates tracked since 2016).

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About Nirvana Holistic Health Centers NPPES

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

NIRVANA HOLISTIC HEALTH CENTERS (NPI 1982059853) is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since April 2016. The organization lists Kendra Alyssa Avant-ortiz, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1982059853

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNIRVANA HOLISTIC HEALTH CENTERS, PLLC

Location Address733 E UNIVERSITY DR, SUITE 4Mesa, AZ 85203-7965

Mailing Address733 E University Dr, Suite 4Mesa, AZ 85203-7965 · (480) 890-3790 · Fax (480) 890-3051

Phone(480) 890-3790

Fax(480) 890-3051

Organization SubpartNo

Authorized OfficialKendra Alyssa Avant-ortizChief Executive Officer · (480) 241-3710

Enumeration DateApril 28, 2016

Last NPPES UpdateSeptember 28, 20162 updates tracked since enumeration

✔ NPI 1982059853 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

License✔ Licensed in AZ · AP4495

733 E UNIVERSITY DR, Mesa, AZ 85203

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Other Names 1

Doing Business AsNirvana Holistic Health Centers

Other Identifiers 1

Medicaid135547AZ

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

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 Nirvana Holistic Health Centers, PLLC's NPI number?

The NPI number for Nirvana Holistic Health Centers, PLLC is 1982059853. It was assigned to this organization in the NPPES registry on April 28, 2016. The provider is doing business as Nirvana Holistic Health Centers.

Where is Nirvana Holistic Health Centers, PLLC located?

Nirvana Holistic Health Centers, PLLC is located at 733 E University Dr Suite 4, Mesa, AZ 85203. The listed phone number is (480) 890-3790.

What is Nirvana Holistic Health Centers, PLLC'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 Nirvana Holistic Health Centers, PLLC was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.