Healthcare Provider Details

I. General information

NPI: 1952245938
Provider Name (Legal Business Name): GHV MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21035 N CAVE CREEK RD # 5C
PHOENIX AZ
85024-5522
US

IV. Provider business mailing address

21035 N CAVE CREEK RD # 5C
PHOENIX AZ
85024-5522
US

V. Phone/Fax

Practice location:
  • Phone: 602-402-8048
  • Fax: 602-699-4197
Mailing address:
  • Phone: 602-402-8048
  • Fax: 602-699-4197

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: MARISSA YVONNE BOWEN
Title or Position: OWNER/FAMILY NURSE PRACTITIONER
Credential: FNP-C
Phone: 602-402-8048