MEDICARE: ALL ARIZONA WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1104673755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL ARIZONA WELLNESS

Provider Business Mailing Address
First Line	:	2111 E BASELINE RD STE C6
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1521
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 E BASELINE RD STE C6
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-1521
Country	:	US
Telephone Number	:	480-382-8284
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIANA LORRAINE FLORES
Credential	:	NP-C
Telephone Number	:	480-382-2588

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	01/07/2026

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Directions to “ALL ARIZONA WELLNESS ” Practice Location

Language	Start Address	Practice Location

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