Healthcare Provider Details

I. General information

NPI: 1750259628
Provider Name (Legal Business Name): NERVEXA ARIZONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 E LINCOLN DR STE B
PHOENIX AZ
85016-2301
US

IV. Provider business mailing address

3135 E LINCOLN DR STE B
PHOENIX AZ
85016-2301
US

V. Phone/Fax

Practice location:
  • Phone: 602-252-3829
  • Fax:
Mailing address:
  • Phone: 602-252-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA W HUSTEDT
Title or Position: PRESIDENT
Credential: MD
Phone: 602-252-3829