Healthcare Provider Details

I. General information

NPI: 1851233365
Provider Name (Legal Business Name): CITRUS PRIMARY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14040 N CAVE CREEK RD STE 210
PHOENIX AZ
85022-6179
US

IV. Provider business mailing address

14040 N CAVE CREEK RD STE 210
PHOENIX AZ
85022-6179
US

V. Phone/Fax

Practice location:
  • Phone: 623-278-4141
  • Fax:
Mailing address:
  • Phone: 623-278-4141
  • 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: ALEXANDRA CAIENAR
Title or Position: CEO
Credential: NP
Phone: 623-276-6136