Healthcare Provider Details

I. General information

NPI: 1962638247
Provider Name (Legal Business Name): SALUD FOR WOMEN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 E COTTONWOOD LN STE A
CASA GRANDE AZ
85122-2055
US

IV. Provider business mailing address

303 E GURLEY ST # 488
PRESCOTT AZ
86301-3804
US

V. Phone/Fax

Practice location:
  • Phone: 480-384-0380
  • Fax: 480-656-9237
Mailing address:
  • Phone: 480-384-0380
  • Fax: 844-220-7597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN093886
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARY CHRISTINE SEALS
Title or Position: NP
Credential:
Phone: 520-316-9690