Healthcare Provider Details

I. General information

NPI: 1255258778
Provider Name (Legal Business Name): MEND INTEGRATIVE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26224 N THORNHILL DR
PEORIA AZ
85383-5986
US

IV. Provider business mailing address

26224 N THORNHILL DR
PEORIA AZ
85383-5986
US

V. Phone/Fax

Practice location:
  • Phone: 650-224-2861
  • Fax:
Mailing address:
  • Phone: 650-224-2861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHYNA DARNER
Title or Position: OWNER
Credential: NP
Phone: 650-224-2861