Healthcare Provider Details

I. General information

NPI: 1982508941
Provider Name (Legal Business Name): SUNSITES HOLISTIC AND FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 N FRONTAGE RD #A
PEARCE AZ
85625
US

IV. Provider business mailing address

PO BOX 250
PEARCE AZ
85625-0250
US

V. Phone/Fax

Practice location:
  • Phone: 520-251-9856
  • Fax:
Mailing address:
  • Phone: 520-251-9856
  • Fax: 888-533-0966

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: TREVOR JONES
Title or Position: CEO
Credential: FNP
Phone: 520-251-9856