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NPI Code Detail

MEDICARE: SYNOVA HEALTH

MEDICARE: SYNOVA HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1093678971
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYNOVA HEALTH
Provider Business Mailing Address
First Line : 1835 W CHANDLER BLVD STE 202
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-5287
Country : US
Telephone Number : 480-681-3667
Fax Number : 480-658-2964
Provider Business Practice Location Address
First Line : 1835 W CHANDLER BLVD STE 202
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-5287
Country : US
Telephone Number : 480-681-3667
Fax Number : 480-658-2964
Authorized Official
Title or Position : CEO
Name : DAVID EVAN TUCKER
Credential :
Telephone Number : 480-681-3667
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/13/2025

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Directions to “SYNOVA HEALTH ” Practice Location

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