MEDICARE: GHV MEDICAL

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1952245938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GHV MEDICAL

Provider Business Mailing Address
First Line	:	21035 N CAVE CREEK RD # 5C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5522
Country	:	US
Telephone Number	:	602-402-8048
Fax Number	:	602-699-4197

Provider Business Practice Location Address
First Line	:	21035 N CAVE CREEK RD # 5C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5522
Country	:	US
Telephone Number	:	602-402-8048
Fax Number	:	602-699-4197

Authorized Official
Title or Position	:	OWNER/FAMILY NURSE PRACTITIONER
Name	:	MARISSA YVONNE BOWEN
Credential	:	FNP-C
Telephone Number	:	602-402-8048

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “GHV MEDICAL ” Practice Location

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