MEDICARE: NERVEXA ARIZONA

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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1750259628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NERVEXA ARIZONA

Provider Business Mailing Address
First Line	:	3135 E LINCOLN DR STE B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2301
Country	:	US
Telephone Number	:	602-252-3829
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 E LINCOLN DR STE B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2301
Country	:	US
Telephone Number	:	602-252-3829
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA W HUSTEDT
Credential	:	MD
Telephone Number	:	602-252-3829

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	01/06/2026

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