Healthcare Provider Details

I. General information

NPI: 1548137656
Provider Name (Legal Business Name): NURI CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 E DIXON DR
SAFFORD AZ
85546-8183
US

IV. Provider business mailing address

995 E DIXON DR
SAFFORD AZ
85546-8183
US

V. Phone/Fax

Practice location:
  • Phone: 480-510-6495
  • Fax:
Mailing address:
  • Phone: 480-510-6495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA DIXON
Title or Position: BOARD OF DIRECTORS
Credential:
Phone: 480-510-6495