Healthcare Provider Details

I. General information

NPI: 1578468542
Provider Name (Legal Business Name): EARLEY HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29834 N CAVE CREEK RD STE 118-1008
CAVE CREEK AZ
85331-5836
US

IV. Provider business mailing address

29834 N CAVE CREEK RD STE 118-1008
CAVE CREEK AZ
85331-5836
US

V. Phone/Fax

Practice location:
  • Phone: 480-401-2132
  • Fax: 408-413-0468
Mailing address:
  • Phone: 480-401-2132
  • Fax: 408-413-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALICIA EARLEY
Title or Position: FOUNDER/NURSE PRACTITIONER
Credential: FNP-C
Phone: 480-401-2132