MEDICARE: HARMONY HEALTH & WELLNESS CENTER PLLC

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1760331599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTH & WELLNESS CENTER PLLC

Provider Business Mailing Address
First Line	:	2169 SWANSON AVE STE 1
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-6878
Country	:	US
Telephone Number	:	928-575-2090
Fax Number	:	480-885-3157

Provider Business Practice Location Address
First Line	:	2169 SWANSON AVE STE 1
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-6878
Country	:	US
Telephone Number	:	928-575-2090
Fax Number	:	480-885-3157

Authorized Official
Title or Position	:	OWNER
Name	:	MISTY PETERSEN
Credential	:	FNP-C
Telephone Number	:	928-208-9707

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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